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目的 探讨碘油与泛影葡胺在子宫输卵管造影中的不同性能特点。方法 随机选择两药造影742例,常规操作。结果 碘油造影子宫输卵管充盈完全,密度均匀,形态、病变、阻塞部位及性质显示清晰。缺点为碘油吸收较慢,可能引起输卵管狭窄部肉芽肿,而使管腔阻塞;碘油逆流入静脉可以引起肺栓塞。泛影葡胺对输卵管通畅性诊断满意,逆流入静脉无不适。缺点为子宫输卵管充盈度稍差,输卵管形态、走行及炎性病变性质不如碘油片清晰。 结论 初次造影为了对子宫输卵管形态、病变、通畅度作出准确诊断,宜用碘油。输卵管手术后、阻塞治疗后复查通畅度,或次日拍片不便的病人,则宜用泛影葡胺。
Objective To investigate the different performance characteristics of lipiodol and diatrizoate in the hysterosalpingography. Methods Randomly selected 742 cases of two drug contrast, routine operation. Results Lipiodol uterine tubal filling is complete, uniform density, morphology, lesions, obstruction site and the nature of the show clearly. Disadvantages of lipiodol absorption is slower, may cause tubal stricture granuloma, leaving the lumen obstruction; reflux iodine oil can cause pulmonary embolism. Meglumine diatrizoate satisfactory diagnosis of tubal patency, reflux into the veins without discomfort. Shortcomings of the hysterosalpingosis degree slightly worse, fallopian tube morphology, walking and inflammatory lesions than lipiodol tablets clear. Conclusions Primary angiography In order to make an accurate diagnosis of uterine fallopian tube morphology, disease, patency, lipiodol should be used. Tubal surgery, obstruction after treatment check the degree of patency, or the inconvenience of filming the next day, the patient should use diatrizoate meglumine.