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目的:探讨子宫输卵管碘油造影发生逆流的原因及防治措施。方法:回顾性分析176例子宫输卵管碘油造影中10例发生逆流的临床X线表现。结果:临床表现如下:无自觉症状2例,下腹盆部疼痛6例,呼吸道症状2例。依照碘油逆流进入不同组织,将逆流的表现分为三种:子宫间质一淋巴逆流6例;血管逆流4例。逆流的原因者:器质性疾病,医源性损伤。结论:逆流是子宫输卵管造影合并症之一,一旦发现逆流,应立即停止检查,并采取积极处理措施。
Objective: To investigate the cause of countercurrent of hysterosalpingography and preventive measures. Methods: A retrospective analysis of 176 cases of hysterosalpingography in 10 cases of reflux X-ray clinical manifestations. Results: The clinical manifestations were as follows: no symptoms in 2 cases, lower abdominal pain in 6 cases, respiratory symptoms in 2 cases. In accordance with iodized oil countercurrent into different tissues, the performance of the countercurrent is divided into three types: uterine interstitial lymphatic reflux in 6 cases; vascular reflux in 4 cases. Counter-flow reasons: organic disease, iatrogenic injury. Conclusion: The reverse flow is one of the complications of hysterosalpingography. Once the reflux is found, it should be stopped immediately and taken active measures.