摘要
目的测量输卵管介入栓塞术中患者所接受的X线辐射剂量,并评估其对后续体外受精-胚胎移植(IVF-ET)的影响。方法选取50例双侧输卵管积水患者作为研究组,50例双侧输卵管近端阻塞的患者作为对照组。研究组在先行介入栓塞术处理输卵管积水,术中分别在患者的眉心、颈前正中、胸骨柄、背部左右12肋缘中点、阴道后穹隆、骶尾部皮肤和盆腔的腹侧相对应皮肤,共7个点放置热释光剂量计,测量患者各部位接受的辐射剂量,并记录患者介入栓塞术中透视时间。统计研究组和对照组患者在IVF-ET过程中的获卵数、受精率、优胚率和临床妊娠率等指标。结果两组的获卵数、受精率、优胚率和临床妊娠率等指标比较差异均无统计学意义(P>0.05),测量透视时间(6.37±3.88) min,辐射剂量眉心(0.20±0.07) m Gy、颈前正中(防护后)0.025(0.00,0.07) mGy、胸骨柄(防护后)0.035(0.00,0.06) mGy、背部左右12肋缘中点(0.55±0.28) mGy、阴道后穹隆(1.28±0.75) mGy、骶尾部皮肤(11.13±8.01) mGy、盆腔的腹侧相对应皮肤(0.75±0.29) mGy。结论介入输卵管栓塞术中患者所接受X线辐射在安全范围内,是一种安全的方法,适当的防护和熟练的操作可有效减少辐射剂量。
Objective To measure the radiation dose received by patients during interventional embolization of fallopian tube and to evaluate its effect on subsequent in vitro fertilization and embryo transfer(IVF-ET). Methods Fifty patients with bilateral hydrosalpinx were selected as the study group and other 50 patients with bilateral proximal tubal obstruction were selected as the control group. For the patients of the study group interventional embolization of fallopian tube was performed first to treat hydrosalpinx. During the operation, the thermoluminescence dosimeter(TLD) was placed on each of the following 7 sites of body: center of the forehead, median point of anterior cervical region, manubrium sterni, mid-point of the line between left and right 12 th rib margins of back, vaginal posterior fornix, sacrococcygeal skin, and corresponding ventral skin of pelvic cavity. The radiation doses at above mentioned sites were measured, and the fluoroscopy time spent on interventional embolization procedure was recorded. The number of eggs obtained during the course of IVF-ET, fertilization rate, superior embryo rate and clinical pregnancy rate were statistically compared between the two groups. Results There were no statistically significant differences in the number of eggs obtained, fertilization rate, superior embryo rate and clinical pregnancy rate between the two groups(P>0.05).The fluoroscopy time spent on interventional embolization was(6.37±3.88) min. The radiation doses measured at center of the forehead, median point of anterior cervical region(after using protective device), manubrium sterni(after using protective device), mid-point of line between left and right 12 th rib margins of back, vaginal posterior fornix, sacrococcygeal skin and corresponding ventral skin of pelvic cavity were(0.20±0.07) mGy,0.025 mGy(0.00, 0.07 mGy), 0.035 mGy(0.00, 0.06 mGy),(0.55±0.28 m) mGy,(1.28±0.75) mGy,(11.13±8.01) mGy and(0.75±0.29) mGy, respectively. Conclusion The radiation dose received by patients during interventio
作者
洪鑫
丁文彬
丁家怡
桑军阳
张勤
印洪刚
谭小芳
谭维维
钟恩德
HONG Xin;DING Wenbin;DING Jiayi;SANG Junyang;ZHANG Qin;YIN Honggang;TAN Xiaofang;TAN Weiwei;ZHONG Ende(Department of Interventional Radiology,Second Affiliated Hospital of Nantong University,Nantong,Jiangsu Province 226001,China)
出处
《介入放射学杂志》
CSCD
北大核心
2021年第6期576-579,共4页
Journal of Interventional Radiology
基金
江苏省南通市市级科技计划项目(YYZ17095)。
关键词
输卵管积水
输卵管介入栓塞术
辐射剂量
体外受精-胚胎移植
hydrosalpinx
interventional embolization of fallopian tube
radiation dose
in vitro fertilization and embryo transfer
