泛影葡胺联合低张法子宫输卵管造影在不孕症中的应用

探讨泛影葡胺联合低张法行子宫输卵管造影(HSG)对不孕症的应用价值。方法将80例择期行HSG的患者按随机数字表法分为2组,每组40例。研究组:术前15～30min肌内注射山莨菪碱10mg;对照组:术前不用山莨菪碱,但对显影不佳者肌内注射山莨菪碱行二次HSG、加压注射泛影葡胺再次行HSG。对2组病例HSG的影像质量等进行分析。结果首次HSG:研究组的造影成功率明显高于对照组,2组比较差异有统计学意义(87.5%vs 60.0%,P<0.05)。对照组32例显影不佳者重行HSG:肌内注射山莨菪碱后,再通率为25.0%(8/32);加压注药后再通率为20.8%(5/24)。结论泛影葡胺HSG联合低张法,可明显提高HSG的显影质量、输卵管的显示率;加压注射泛影葡胺,可降低HSG的假阳性率。

Application of Meglucamine Diatrizoate Combined with Hypotonic Hysterosalpingography in Infertility

Objective To evaluate the values of meglucamine diatrizoate combined with hypotonic hysterosalpingography(HSG) in patients with infertility.Methods Eighty infertility patients undergoing selective HSG were randomly divided into two groups,with 40 patients in each group.The research group was administered intramuscularly with 10 mg anisodamine at 15-30 minutes before HSG.The control group was not given anisodamine before HSG,but the secondary HSG was performed after anisodamine injection and the HSG was performed again after pressurized injection of meglucamine diatrizoate in patients with poor visualization.Image quality was analyzed in both groups.Results The success rate of the first HSG in study group was significantly higher than that in control group(87.5% vs 60.0%,P<0.05).Among the 32 patients with poor visualization who received the secondary HSG,fallopian tube recanalization rate was 25.0%(8/32)after injection of anisodamine and 20.8%(5/24) after pressurized injection of meglucamine diatrizoate.Conclusion Meglucamine diatrizoate combined with hypotonic HSG can improve image quality and increase display rates of fallopian tubes.In addition,pressurized injection of meglucamine diatrizoate can reduce false positive rate of HSG.