【摘要】：目的探討經(jīng)陰道實(shí)時(shí)三維子宮輸卵管造影(3D-Hy Co Sy)過程中不良反應(yīng)及處理措施。資料與方法回顧性分析2014年12月-2016年8月南京中醫(yī)藥大學(xué)附屬江蘇省中醫(yī)院976例因不孕癥就診行3D-Hy Co Sy的患者。采用視覺模擬評分法(VAS)進(jìn)行疼痛程度評估,同時(shí)記錄患者造影劑逆流、嘔吐、暈厥、過敏等發(fā)生情況,比較不同超聲表現(xiàn)患者的不良反應(yīng)情況。結(jié)果疼痛VAS評分0級66例(6.76%)、輕度疼痛346例(35.45%)、中度疼痛374例(38.32%)、重度疼痛190例(19.47%)。隨著輸卵管阻塞程度的增加,疼痛程度逐漸加重,并成為患者最常見的不良反應(yīng);其次嘔吐15例(1.54%)、暈厥1例(0.10%)、過敏1例(0.10%)、造影劑逆流120例(12.30%)。超聲表現(xiàn)異�；颊卟涣挤磻�(yīng)發(fā)生率明顯高于超聲表現(xiàn)正常者,差異有統(tǒng)計(jì)學(xué)意義(χ~2=29.02,P0.01)。結(jié)論 3D-Hy Co Sy檢查應(yīng)用廣泛,在關(guān)注其臨床應(yīng)用價(jià)值的同時(shí),也需提高對該檢查安全性及相關(guān)不良反應(yīng)的認(rèn)識,造影前、中、后各期應(yīng)密切觀察患者的狀態(tài),警惕暈厥和過敏反應(yīng)的發(fā)生,做好應(yīng)急處置的臨床準(zhǔn)備。
[Abstract]:Objective to investigate the adverse reactions and management of transvaginal real-time three-dimensional hysterosalpingography (3D-Hy Co Sy). Materials and methods from December 2014 to August 2016, 976 patients with 3D-Hy Co Sy in Jiangsu Provincial Hospital of traditional Chinese Medicine affiliated to Nanjing University of traditional Chinese Medicine were analyzed retrospectively. Visual analogue score (VAS) was used to evaluate the degree of pain, and the adverse reactions of patients with different ultrasound manifestations were compared by recording the incidence of contrast agent reflux, vomiting, syncope and allergy. Results there were 66 cases (6.76%) with VAS grade 0, 346 cases (35.45%) with mild pain, 374 cases (38.32%) with moderate pain and 190 cases (19.47%) with severe pain. With the increase of the degree of tubal obstruction, the degree of pain gradually aggravated and became the most common adverse reaction, followed by vomiting in 15 cases (1.54%), syncope in 1 case (0.10%), hypersensitivity in 1 case (0.10%), contrast agent reflux in 120 cases (12.30%). The incidence of adverse reactions in abnormal ultrasound patients was significantly higher than that in normal ultrasound patients (蠂 ~ 2 = 29.02, P 0.01). Conclusion 3D-Hy Co Sy examination is widely used. It is necessary to improve the safety and adverse reactions of the 3D-Hy Co Sy examination while paying close attention to its clinical application value. The state of the patients should be closely observed before, during and after the examination. Be alert to syncope and allergic reaction and prepare for emergency management.
【作者單位】： 南京中醫(yī)藥大學(xué)附屬醫(yī)院超聲醫(yī)學(xué)科;
【基金】：江蘇省中醫(yī)藥局科技項(xiàng)目(LZ13065)
【分類號】：R711.6;R816.91

【參考文獻(xiàn)】

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