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我院自1989年5月至1992年5月三年来因不孕症就诊并行子宫输卵管造影者共310例,现就其X线征象,尤其是造影术的治疗性意义进行分析。一般资料 本组310例,年龄22～38岁,原发不孕227例(72.23％),继发不孕83例(26.77％)。原发不孕时间2～10年,继发者2～8年。造影方法 常规消毒,病人仰卧于检查台上,将Foley氏管插入宫腔充气固定,在电视监视下缓慢注入40％碘化油3ml～8ml,当子宫输卵管充盈满意后立即摄片,24小时后摄第二张照片.结果 310例子宫输卵管造影(HSG)中,子宫发育异常、位置异常或子宫本身病变者42例,占13.55％,其中子宫结核30.95％。子宫过分倾移30.95％,发病率较高.HSG后受孕8例,其中子宫内膜炎及单角子宫受孕率较高.而子宫输卵管结核,幼稚子宫,子宫肌瘤均未受孕(表1)。
Our hospital from May 1989 to May 1992 three years due to infertility treatment of hysterosalpingography were a total of 310 cases, now its X-ray signs, especially the therapeutic significance of angiography were analyzed. General information The group of 310 cases, aged 22 to 38 years, 227 cases of primary infertility (72.23%), 83 cases of infertility (26.77%). Primary infertility time 2 to 10 years, secondary to 2 to 8 years. Contrast routine radiography method, the patient supine on the examination table, the Foley’s tube inserted into the uterine cavity inflatable fixed under the supervision of the TV 40% iodized oil 3ml ~ 8ml, when the uterine tubal full satisfaction immediately after 24 hours The second photograph was taken.Results Of the 310 cases of hysterosalpingography (HSG), 42 cases (39.55%) had uterine dysplasia, abnormal location or the uterus itself, of which 30.95% were uterine tuberculosis. Uterine over-dumping 30.95%, a higher incidence of HSG after pregnancy in 8 cases, including endometritis and single horn uterus higher pregnancy rate .Whital tubal tuberculosis, immature uterus, uterine fibroids were not pregnant (Table 1) .