摘要
目的评价子宫输卵管超声造影检查患者的副反应情况。方法通过询问和观察了解超声子宫输卵管造影检查的356例患者发生副反应的类型和程度,并电话随访检查后1个月内的并发症。评价疼痛副反应的程度采用11点数字评分法;分析发生副反应与输卵管梗阻的相关性。结果 356例患者中,副反应主要表现为疼痛和迷走神经反应,发生率分别为42.4%(151/356)和9.0%(32/356)。疼痛副反应和迷走神经副反应与输卵管通畅状态均呈正相关(r=0.624、0.574,均P=0.000);并发症主要为检查后持续阴道少量出血(13例)和盆腔感染(1例)。结论子宫输卵管超声造影检查的主要副反应为疼痛和迷走神经反应,输卵管梗阻患者尤其易发生,盆腔感染并发症极少发生。
Objective To evaluate the side effects of hysterosalpingo contrast sonography （HyCoSy）. Methods Three hundred and fifty-six infertile women were examined by HyCoSy, and the side effects were observed for at least 30 minutes after the procedure. The complications were followed up within l month. Tolerability to the procedure was evaluated by means of an 11- point numeric rating scale of the pain experienced. The correlation between the side effects and tubal patency was analyzed. Results Among the 356 patients, 151 cases （42.4%） complained of obvious pain and 32 cases （9.0%） experienced mild vasovagal reactions. There was postive correlation of pain experience and vasovagal reactions between patients with patent tubes and those with obstructed tubes （r=0.624,0.574, all P=0.000）. The main late complications were vaginal bleeding in 13 cases and acute pelvic phlogosis in 1 case. Conclusion HyCoSy is a safe examination,its main side effects are pain and vasovagal reactions, which is mainly caused by obstructed tubes. Late complications such as pelvic phlogosis are very few.
作者
查晓霞
邓晓杨
游岚岚
周江英
温彪
ZHA Xiaoxia DENG Xiaoyang YOU Lanlan ZHOU Jiangying WEN Biao(Department of Ultrasound, the First Affiliated Hospital of Chengdu Medical College, Chengdu 610500, China)
出处
《临床超声医学杂志》
2017年第3期182-185,共4页
Journal of Clinical Ultrasound in Medicine
基金
四川省卫生厅科研课题(120474)
关键词
超声检查
造影剂
子宫输卵管
疼痛副反应
迷走神经反应
输卵管梗阻
Ultrasonography
Contrast agent
Uterus and fallopian tube
Pain side effects
Vasovagal reactions
Tubal occlusion
