碘海醇与罂粟乙碘油在不孕症患者X线下子宫输卵管造影中的应用效果比较OA
Comparison of application effect of iohexol and ethiodized poppyseed oil in X-ray hysterosalpingography of infertility patients
目的 比较碘海醇与罂粟乙碘油在不孕症患者X线下子宫输卵管造影(HSG)中的应用效果.方法选择2023年1月至12月在新疆生产建设兵团第一师医院行X线下HSG的180例不孕症患者作为研究对象,按照随机数字表法分为对照组(90 例)与观察组(90 例).对照组用碘海醇造影剂,观察组采用罂粟乙碘油造影剂,比较两组图像质量优良率、疾病检出结果、不良反应.结果 观察组图像质量优良率高于对照组,差异有统计学意义(P<0.05);观察组宫腔粘连、宫腔占位病变、盆腔粘连、输卵管阻塞、输卵管通而不畅检出率高于对照组,差异有统计学意义(P<0.05);观察组发热、下腹疼痛、阴道出血、造影剂逆流、造影剂直流等不良反应总发生率低于对照组,差异有统计学意义(P<0.05).结论 罂粟乙碘油在不孕症患者X线下HSG中的应用效果较好,能提高图像质量,降低不良反应发生率.
Objective To compare the application effect of iohexol and ethiodized poppyseed oil in X-ray hysterosalpingography(HSG)in infertility patients.Methods A total of 180 infertility patients who underwent X-ray HSG in the First Division Hospital of Xinjiang Production and Construction Corps from January to December 2023 were selected as the research objects.According to the random number table method,they were divided into the control group(90 cases)and the observation group(90 cases).The control group was given iohexol contrast medium,and the observation group was given ethiodized poppyseed oil contrast medium.The excellent rate of image quality,disease detection results,and adverse reactions were compared between the two groups.Results The excellent rate of image quality in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).The detection rates of intrauterine adhesion,intrauterine space-occupying lesions,pelvic adhesion,fallopian tube obstruction and incomplete occlusion of fallopian tube in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).The total incidence of adverse reactions such as fever,lower abdominal pain,vaginal bleeding,contrast medium countercurrent,and contrast medium direct current in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion Ethiodized poppyseed oil has a good application effect in X-ray HSG of infertility patients,which can improve the image quality and reduce the incidence of adverse reactions.
芮红苇;关琳
新疆生产建设兵团第一师医院生殖中心,新疆 阿克苏 843000新疆生产建设兵团第一师医院生殖中心,新疆 阿克苏 843000
医药卫生
不孕症子宫输卵管造影碘海醇罂粟乙碘油
InfertilityHysterosalpingographyIohexolEthiodized poppyseed oil
《妇儿健康导刊》 2026 (2)
71-75,5
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