摘要
目的:探究超液化碘油子宫输卵管造影(HSG)术后不同时间诊断输卵管通畅度及宫腔形态的一致性。方法:选取2021年3月至2022年1月柳州市妇幼保健院收治的29例不孕症患者,均行超液化碘油HSG,分别于术后4 h、6 h、24 h行延迟片拍摄,分析4 h、6 h诊断输卵管通畅度及宫腔形态与24 h诊断的一致性,并分析4 h、6 h诊断输卵管通畅及宫腔形态的一致性系数差异,记录不良反应发生情况。结果:29例不孕症患者中,超液化碘油HSG术后24 h诊断单侧输卵管闭锁9例,双侧输卵管闭锁3例,双侧输卵管通畅17例;诊断宫腔形态正常25例,宫腔内充盈缺损3例,双角子宫1例;术后4 h、6 h与24 h诊断输卵管通畅度的一致性Gwet’s AC1值分别为0.71、0.76,具有高度一致性,且一致性系数数据可信,非偶然一致性引起(P<0.001);线性化分析术后4 h、6 h诊断输卵管通畅的一致性系数差异无统计学意义(P>0.05);术后4 h、6 h与24 h诊断宫腔形态的一致性Gwet’s AC1值分别为0.88、0.85,非常一致,且一致性系数数据可信,非偶然一致性引起(P<0.001);线性化分析术后4 h、6 h诊断宫腔形态的一致性系数差异无统计学意义(P>0.05);术中、术后疼痛程度均为轻、中度,且均在数小时后缓解,术后48.3%患者无阴道流血情况,其余均为少量或极少量阴道流血。结论:超液化碘油HSG术后4 h、6 h诊断输卵管通畅度及宫腔形态与术后24 h诊断具有较高的一致性,可节省患者时间,具有可行性。
Objective:To investigate the consistency of diagnosing tubal patency and uterine cavity morphology at different times after Lipiodol ultra-fluide hysterosalpingography(HSG).Methods:Twenty-nine infertility patients admitted to Liuzhou Maternal and Child Health Hospital from March 2021 to January 2022 were selected,all of whom underwent Lipiodol ultra-fluide HSG,and delayed radiographs were taken at 4 h,6 h and 24 h postoperatively,respectively.The consistency between the diagnosis of tubal patency and uterine cavity morphology at 4 h and 6 h and that at 24 h diagnosis as well as the differences in the consistency coefficients of 4 h and 6 h diagnosis of tubal patency and uterine cavity morphology were analyzed,and the occurrence of adverse reactions were recorded.Results:Among the 29 infertility patients,9 cases of unilateral tubal atresia,3 cases of bilateral tubal atresia and 17 cases of bilateral tubal patency were diagnosed at 24 h after Lipiodol ultra-fluide HSG;25cases of normal uterine cavity morphology,3 cases of intrauterine filling defect and 1 case of bicornuate uterus were diagnosed;the Gwet’s AC1 values between the 24 h diagnosis of tubal patency and those at 4h and 6h were0.71 and 0.76,respectively,showing high consistency,and the consistency coefficient data were plausible and not caused by chance consistency(P<0.001);linearization analysis showed that the difference in consistency coefficients between the 4 h and 6 h diagnosis of tubal patency was not statistically significant(P>0.05);the Gwet’s AC1 values between the 24 h diagnosis of uterine cavity morphology and those at 4h and 6h were 0.88 and 0.85,respectively,showing great consistency,and the consistency coefficient data were plausible and not caused by chance consistency(P<0.001);linearization analysis showed that the difference in consistency coefficients between the 4 h and 6 h diagnosis of uterine cavity morphology was not statistically significant(P>0.05);intraoperative and postoperative pain levels were mild and moderate,all relieve
作者
韦洁如
覃文华
程广明
吴美仙
黄露
覃慧
Wei Jieru;Qin Wenhua;Cheng Guangming;Wu Meixian;Huang Lu;Qin Hui(Liuzhou Maternal and Child Health Hospital,Liuzhou 545001,China)
出处
《广西医科大学学报》
CAS
2022年第9期1436-1441,共6页
Journal of Guangxi Medical University
基金
广西壮族自治区卫生和计划生育委员会课题项目(No.Z20180135)。
关键词
不孕症
子宫输卵管造影
超液化碘油
延迟片拍摄
不同时间
一致性
infertility
hysterosalpingography
Lipiodol ultra-fluide
delayed radiography
different times
consistency
