Abstract:

Objective　To evaluate the clinical effect of the improved intermittent injection method and the routine injection method in hysterosalpingography (HSG). Methods　One hundred infertile patients (200 fallopian tubes) taking HSG at Guangdong Women and Children Hospital from January 2023 to December 2023 were selected, and were divided into a control group and an observation group according to the routine injection method or the improved intermittent injection method they took, with 50 cases in each group. The control group were 24-45 years old, with a median of 28. The observation group were 22-44 years old, with a median of 27. Both groups took HSG 3-7 d after the menstruation was clean. The unobstructed fallopian tubes and abdominal pain during HSG were observed and compared by χ² test. Results　In the control group, 54 (54.0%) fallopian tubes were unobstructed, 28 (28.0%) not completely obstructed, and 18 (18.0%) completely obstructed. In the observation group, 63 (63.0%) fallopian tubes were unobstructed, 25 (25.0%) not completely obstructed, and 12 (12.0%) completely obstructed. The incidence of abdominal pain in the control group was 66% (33/50), and that in the observation group 36% (18/50), with a statistical difference (χ²=51.680, P<0.01). Conclusions　Both methods can evaluate the patency of fallopian tubes; the improved intermittent injection method is better than the routine injection method in the incidence of abdominal pain.

Key words:

Hysterosalpingography, Improved intermittent injection method, Tubal infertility

摘要：

目的　探讨改良间断注射法和常规推注法在子宫输卵管造影（hysterosalpingography，HSG）中的应用效果。方法　选取2023年1月至12月于广东省妇幼保健院行HSG检查的不孕症患者100例（共200条输卵管），按常规推注法及改良间断推注法将患者分为对照组和观察组，各50例。对照组年龄范围24～45岁、中位年龄28岁；观察组年龄范围22～44岁、中位年龄27岁。检查时间均为月经干净后3～7 d，观察两组患者输卵管通畅情况及HSG过程中的腹痛情况，组间比较采用χ²检验。结果　对照组100条输卵管中，通畅54条（54%）、不完全堵塞28条（28%）、完全堵塞18条（18%）；观察组100条输卵管中，通畅63条（63%）、不完全堵塞25条（25%）、完全堵塞12条（12%）。对照组腹痛发生率为66%（33/50），观察组为36%（18/50），差异有统计学意义（χ²=51.680，P<0.01）。结论　两种造影推注法均能较好地评估输卵管通畅度，但改良间断注射法的腹痛发生率明显优于常规推注法。

关键词:

子宫输卵管造影, 改良间断推注法, 输卵管性不孕