目的:探讨输卵管通液诊疗仪、数字胃肠机和非离子型造影剂在子宫输卵管造影中的应用优势。方法:回顾性分析394例接受子宫输卵管造影患者的检查方法、X线造影表现和不良反应。结果:394例患者中,子宫造影正常319例,位置异常30例,形态异常45例;输卵管造影基本通畅263例(双侧71例,单侧192例),输卵管通而不畅104例(双侧17例,单侧87例),输卵管不通302例(双侧31例,单侧271例);输卵管角部不通128例(双侧8例,单侧120例),输卵管峡部不通43例(双侧5例,单侧38例),输卵管壶腹部不通57例(双侧11例,单侧46例),输卵管伞部不通40例(双侧5例,单侧35例),输卵管伞周粘连包裹34例(双侧2例,单侧32例)。无1例发生碘过敏反应,发生下腹部胀痛25例(碘化油9例,复方泛影葡胺4例,碘海醇12例),输卵管间质淋巴逆流7例(碘化油3例,复方泛影葡胺1例,碘海醇3例),静脉逆流2例(碘化油1例,碘海醇1例),残端破裂1例(碘化油1例)。结论:利用输卵管通液诊疗仪、数字胃肠机和非离子型造影剂进行子宫输卵管造影,能准确判断输卵管是否通畅和输卵管阻塞部位,使医务人员远离X线辐射的威胁,并降低了患者的X线辐射剂量和减少了不良反应的发生,是进行子宫输卵管造影的首选方法。 OBJECTIVE: To explore the application advantages of tubal fluid-passing diagnostic apparatus, digital gastrointestinal machines and non-ionic contrast agents in hysterosalpingography. Methods: A retrospective analysis of 394 patients undergoing hysterosalpingography examination methods, X-ray findings and adverse reactions. Results: Among 394 patients, there were 319 cases with normal uterus, 30 cases with abnormal position, 45 cases with abnormal morphology, 263 cases with unobstructed tubal radiography (71 cases in both sides and 192 cases in unilateral side), and 104 cases (N = 31, unilateral, 87 cases), tubal failure in 302 cases (bilateral 31 cases, unilateral 271 cases); tubal corner unreasonable in 128 cases (bilateral in 8 cases, unilateral 120 cases), tubal isthmus unreasonable in 43 cases 5 cases in both sides and 38 cases in one side), 57 cases of tubal ampulla (15 cases in both sides and 46 cases in unilateral side), 40 cases (50 cases in both sides and 35 cases in unilateral) Adhesion package in 34 cases (bilateral in 2 cases, unilateral in 32 cases). None of the patients had iodine hypersensitivity reaction, and 25 cases of lower abdominal pain (iodized oil 9, compound diatrizoate 4, iohexol 12), tubal lymphadenectasis 7 (iodized oil 3 , 1 case of compound diatrizoate and 3 cases of iohexol), 2 cases of venous reflux (1 case of iodized oil and 1 case of iohexol), 1 case of stump rupture (1 case of iodized oil). Conclusion: The use of tubal fluid therapy device, digital gastrointestinal machine and non-ionic contrast agent for hysterosalpingography can accurately determine the tubal patency and fallopian tube obstruction site, the medical staff away from the threat of X-ray radiation, and reduce the patient’s X-ray dose and reduce the incidence of adverse reactions, is the preferred method of hysterosalpingography.