摘要
目的对比分析碘化油、泛影葡胺及非离子型对比剂碘海醇在子宫输卵管造影(HSG)中的优缺点,探讨改良造影法的应用价值。方法随机选取欲行HSG的患者,分别用传统法以碘化油、76%泛影葡胺及碘海醇作对比剂进行子宫输卵管造影各100例,改良法以碘海醇作对比剂进行HSG100例。术中、术后观察与随访,对传统法油剂与水剂在HSG中的影像质量、通畅率、腹痛发生率、安全性等进行对比,并分析改良法应用碘海醇的优点。结果 3种对比剂在影像质量、通畅率方面无显著性差异;应用碘海醇术后腹痛发生率低,与碘化油、泛影葡胺组比较差异有统计学意义(χ2=10.54,P<0.01);改良法用碘海醇造影图像优级病例数最多,差级病例数最少。结论非离子型对比剂进行HSG检查图像质量高,安全性高,应优先选用,结合改良操作法可以进一步提高图像质量,减少辐射量。
Objective To discuss the advantages and disadvantages of the iodized oil,diatrizoate and non-ionic iohexol used as contrast media in performing hysterosalpingography and to evaluate the modified hysterosalpingography in clinical practice.Methods Patients who were scheduled to receive hysterosalpingography were randomly selected and divided into three conventional groups：iodized oil group,diatrizoate group and iohexol group,with 100 cases in each group.Another 100 cases（modified group） were examined with modified hysterosalpingographic technique by using iohexol as contrast medium.During the procedure and after the hysterosalpingography all the patients were carefully observed.The image quality,the fallopian tube patent rate,the incidence of abdominal pain,clinical safety,etc.were documented and the results were compared among groups.The advantages of modified hysterosalpingographic technique were analyzed.Results No significant difference in image quality and the fallopian tube patent rate existed among the three conventional groups.The occurrence of abdominal pain in iohexol group was significantly lower than that in both iodized oil group and diatrizoate group（χ^2 = 10.54,P〈0.01）.The image quality in modified group was the best.Conclusion In performing hysterosalpingography,the use of iohexol,a non-ionic contrast medium,can provide high-quality images with reliable clinical safety,therefore,iohexol should be regarded as the contrast medium of first choice.The image quality can be further improved and the radiation dose can be effectively reduced if modified manipulation is employed.
出处
《介入放射学杂志》
CSCD
北大核心
2010年第7期574-577,共4页
Journal of Interventional Radiology
关键词
碘油
泛影葡胺
碘海醇
子宫输卵管造影
对比分析
改良法
iodizedoil
diatrizoate
iohexol
hysterosalpingography
comparative analysis
modified method
