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目的探讨子宫输卵管造影术(HSG)中造影剂逆入的发生与造影时间之间的关系,从而降低HSG术中造影剂逆入的发生率。方法 2010年我院全年共完成HSG 1 076例,对其中发生造影剂逆入的167例的临床资料回顾性分析。结果 (1)月经干净后第3天行子宫输卵管造影造影剂逆入率为29.81%,4 d为15.08%,5 d为12.24%,≥6 d为8.51%。(2)末次月经后≤7 d行子宫输卵管造影造影剂逆入率为29.82%;8 d为19.91%;9 d为13.16%;10 d为12.67%;≥11 d为8.67%。结论子宫输卵管造影时间的选择影响造影剂逆入的发生率。应尽量避免月经干净后≤3 d以内或末次月经后≤7 d内行子宫输卵管造影,以降低子宫输卵管造影中造影剂逆入的发生率。
Objective To investigate the relationship between the incidence of contrast agent injections and contrast time in hysterosalpingography (HSG), so as to reduce the incidence of contrast agent inversions in HSG. Methods A total of 1,076 HSG cases were completed in our hospital in 2010, and the clinical data of 167 cases with adverse reactions of contrast medium were retrospectively analyzed. Results (1) The rate of hysterosalpingography contrast agent injection was 29.81% on the third day after menstruation was clean, 15.08% on the 4th day, 12.24% on the 5th day and 8.51% on the 6th day. (2) The rate of hysterosalpingography contrast agent injection was 29.82% ≤7 d after the last menstruation; 19.91% for 8 days; 13.16% for 9 days; 12.67% for 10 days; 8.67% for ≥11 days. Conclusion The choice of time of hysterosalpingography affects the incidence of contrast agent inversions. Should be avoided after menstruation clean ≤ 3 d or within the last menstrual ≤ 7 d after hysterosalpingography to reduce the incidence of contrast agent in the hysterosalpingography intrusion rate.