微量泵恒速注射法在子宫输卵管造影检查的应用价值
【摘要】目的：比较手工推注法和微量泵恒速注射法HSG应用，寻求一种最佳诊疗效果的规范化HSG方法。方法：收集2012年6月-2014年3月在我院就诊的不孕者,随机分为试验组与对照组各100例行HSG, 试验组采用微量泵恒速注射法，注射速度0.08ml/s（288ml/h，27.58kpa）；对照组采用手工推注法。采用X2检验比较两组间结果的差异。结果：本研究对子宫输卵管情况能作出准确判断，图像质量良好，诊断和治疗效果满意。不良反应、逆流、人流综合征发生率实验组分别为47%， 2%，0%，对照组分别为56%，7%，2%。两种方法不良反应及并发症发生比较无统计学意义（P＞0.05）。输卵管阻塞阳性率实验组87.5%，对照组28.57%，两者比较差异具有统计学意义（P＜0.05）。实验组能缩短造影时间，减少受检者X线辐射，操作医师几乎不接触X射线。结论：使用微量注射泵恒速推注法进行HSG，操作简便、安全、规范，效果好，性价比高，特别适合中小医院使用，有积极的推广应用价值。
【关键词】微量泵；恒速注射；造影剂；子宫输卵管造影；
Abstract：Objective: To compare the diagnostic value of micro-pump injection constant speed with hand-pushing injection in hysterosalpingography.Methods: 200 women who had been infertile for more than 1 year and were scheduled to undergo HSG, from our hospital, were assigned to one of two groups: those receiving micro-pump injection constant speed (n=100), those receiving hand-pushing(n=100) from June 2012 to March 2014. Results: Experimental group no patients fail to intubation, n=100,200 fallopian tubes. In the control group, n=100,200 tubes. There were no statistically significant in tubal patency, respectively 80.5% 76.0%(P＞0.05); contrast material reflux were 2.0%(2/100)、7%(7/100),there were no statistically significant between the two groups(P＞0.05). Remote blocking between two groups were 87.5%、28.57% respectively, there were statistically significant between the two groups(P＜0.05). Conclusion: HSG applying constant pressure injection, the injection can maintain constant contrast agent...
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