Improved operating method for hysterosalpinography

Abstract

The invention relates to an improved operation method of hysterosalpingo-iodol radiography. The method is to measure the thickness of the double endometrium of the uterus at 6.1-7.5 mm within 3-7 days after the patient's menstruation is clean, and prepare for the operation; during the operation, follow the routine After the contrast agent is injected, if one or both fallopian tubes are not displayed within 10 minutes, intramuscularly inject 0.5 mg of atropine, and perform appropriate repeated compression on the opposite uterine horn and fallopian tube running area of ​​the abdomen several times to promote the visualization of the fallopian tubes For patients with uneven intraperitoneal contrast agent diffusion within 24 hours, pelvic plain films were taken 48 hours later to dynamically track and observe the contrast agent diffusion. After adopting the above-mentioned technical scheme, it is possible to make a more correct diagnosis of fallopian tube obstruction, reduce the occurrence of contrast agent retrograde phenomenon, and reduce the false negative problem of fallopian tubes. The accuracy rate can be increased from 80% to more than 90%, and it has a better therapeutic effect. And it can objectively judge the degree of pelvic adhesion in patients, which can improve the success rate of HSG angiography.

Description

technical field [0001] The invention relates to the technical field of medical obstetrics and gynecology examinations, in particular to an operation method for hysterosalpingography with iodized oil. Background technique [0002] According to statistics, the incidence of infertility in my country is 7-10%. There are many reasons for infertility. Among them, blocked fallopian tubes or blocked fallopian tubes account for 1 / 2 of female infertility. The most widely used inspection method is hysterosalpingography. (Hysterosalpingography, HSG), HSG is an inspection method that injects contrast medium through the uterine orifice to display the inner cavity of the uterus and fallopian tubes. It achieves diagnostic purposes based on the filling of the contrast medium in the uterus and fallopian tubes and the distribution in the pelvis. [0003] Now the commonly used imaging method is: 3-7 days after menstruation is clean, intramuscular injection of 0.5 mg of adipine half an hour befor...

AI Technical Summary

Problems solved by technology

[0010] The technical problem to be solved by the present invention is aimed at the high occurrence rate of retrograde phenomenon in hysterosalpingography technology, the low coincidence rate with laparoscopy during inspection, the difficulty in judging the degree of hydrops and pelvic adhesions of fallopian tubes, etc. The problem is to provide an improved operation method of hysterosalpingography, which can improve the success rate of radiography, reduce the occurrence of reverse entry, and reduce the risk of pulmonary embolism; reduce the false negative problem of blocked fallopian tubes, and greatly improve the accuracy rate ; It has a better therapeutic effect on the obstruction caused by mild tubal adhesion; at the same time, it can more accurately and objectively judge the degree of hydrops at the fimbria of the fallopian tube and pelvic cavity adhesion

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