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目的探讨微量注射泵远程自动推注造影剂在子宫输卵管造影检查中的优势及应用价值。方法选择2015年6月-12月在河北省某市妇幼保健院放射科行子宫输卵管造影的80例不孕症患者,采用随机数字表法分为观察组和对照组各40例,观察组采用微量注射泵远程自动推注造影剂进行子宫输卵管造影检查,对照组采用临床医师床旁推注造影剂进行子宫输卵管造影检查。对比分析两组患者的造影质量,子宫输卵管阻塞诊断的灵敏度、特异度及符合率等,以及造影中不良反应的发生情况。结果观察组总体影像质量及HSG成功率均明显优于对照组,差异有统计学意义(P<0.01)。观察组检查结果与腹腔镜下通染液检查结果 Kappa值为0.750,一致性较好,对照组影像检查与腹腔镜下通染液检查结果 Kappa值为0.471,一致性一般。对照组推注造影剂速度较快,平均为(48.6±10.3)s,观察组推注造影剂速度均匀,平均为(147.2±15.4)s。观察组推注过程中恶心呕吐、腹痛发生率均低于对照组,其中腹痛发生率明显低于对照组,差异有统计学意义(P<0.05),且均在造影结束后自动缓解。结论应用微量注射泵行子宫输卵管造影,可以快速、高效及动态观察造影过程,能够提高子宫输卵管图像质量,可提高子宫输卵管疾病的诊断准确率。
Objective To explore the advantage and application value of remote injection bolus of microinjection pump in the detection of hysterosalpingography. Methods Eighty infertility patients who underwent hysterosalpingography of radiology from a city maternity and child care center in Hebei province from June 2015 to December were randomly divided into observation group (40 cases) and control group (40 cases) Micro-injection pump remote bolus injection of contrast agent for hysterosalpingography, the control group with clinicians bedside bolus contrast agent for hysterosalpingography. Contrast analysis of two groups of patients with contrast quality, the sensitivity of the uterine tubal obstruction diagnosis, specificity and coincidence rate, as well as the incidence of adverse reactions in the angiography. Results The overall image quality and HSG success rate in the observation group were significantly better than those in the control group, with statistical significance (P <0.01). The results of the observation group and the results of laparoscopic detection dye Kappa value of 0.750, consistency is good, the control group and laparoscopic through the dye test results Kappa value of 0.471, consistency in general. Control group bolus contrast agent faster, with an average of (48.6 ± 10.3) s, the observation group bolus contrast agent speed, with an average of (147.2 ± 15.4) s. The incidence of nausea and vomiting and abdominal pain during the observation group was lower than that of the control group. The incidence of abdominal pain in the observation group was significantly lower than that of the control group (P <0.05). Both of them were relieved automatically after the end of the contrast. Conclusion The application of microinjection pump hysterosalpingography can quickly, efficiently and dynamically observe the imaging process, can improve the image quality of the uterine tubal, uterine tubal disease can improve the diagnostic accuracy.