子宫输卵管造影术后2小时和24小时延迟x线片诊断一致性的比较。

IF 1.1 4区 医学 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING
Yitang Wang
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引用次数: 0

摘要

背景:输卵管造影(HSG)是诊断输卵管疾病的常用手段。同时,hsg术后需隔24小时使用油基造影剂进行延时x线片拍摄,不方便。目的:本研究使用超流体脂醇造影剂比较hsg后2小时和24小时延迟x线片诊断的一致性。方法:78例使用超液体脂醇进行HSG检查的患者被纳入本队列研究。然后,在2小时和24小时后,拍摄延迟x线片,随后随机分配到两个文件夹,由研究人员阅读,以评估输卵管通畅,子宫形态和盆腔形态。结果:输卵管造影后2小时和24小时的延迟x线片对输卵管通畅的诊断基本一致(Gwet的AC1值为0.624),对子宫形态(Gwet的AC1值为0.943)和盆腔形态(Gwet的AC1值为0.876)的诊断几乎完全一致。29例(37.2%)和3例(3.8%)患者出现轻度和中度疼痛,3例(3.8%)患者出现逆流血流。HSG术后,仅有9例(11.5%)患者出现轻度疼痛。输卵管造影期间和术后均未发生阴道出血。结论:与传统的24小时方案相比,超液脂醇在输卵管造影后2小时拍摄延迟x线片对输卵管通畅和子宫盆腔形态的评价具有较高的一致性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Comparison of the Diagnostic Consistency between Delayed Radiographs taken Two Hours and Twenty-four Hours Post Hysterosalpingography using Ultra-Fluid Lipiodol-based Contrast Medium.

Background: Hysthyosalpingography (HSG) is commonly used to diagnose fallopian tubal disease. At the same time, a 24-hour interval is needed for taking delayed radiographs post-HSG using an oil-based contrast medium, which is inconvenient.

Objective: This study used an Ultra-Fluid Lipiodol-based contrast medium to compare the diagnostic consistency between delayed radiographs taken 2 hours and 24 hours post-HSG.

Methods: In total, 78 patients who received HSG examinations using ultrafluid lipiodol were enrolled in this cohort study. Then, after 2 hours and 24 hours, delayed radiographs were taken, which were subsequently randomized and assigned to two folders and read by investigators to assess the patency of the fallopian tubes, uterine morphology, and pelvic cavity morphology.

Results: The delayed radiographs that were taken 2 hours and 24 hours post-HSG revealed substantial agreement in the diagnosis of fallopian tube patency (with a Gwet's AC1 value of 0.624) and almost perfect agreement in determining uterine morphology (with a Gwet's AC1 value of 0.943) and pelvic cavity morphology (with a Gwet's AC1 value of 0.876). Twenty-nine (37.2%) and 3 (3.8%) patients experienced mild and moderate pain, respectively, and 3 (3.8%) patients suffered countercurrent blood flow during the HSG. After HSG, only 9 (11.5%) patients were exposed to mild pain. Vaginal bleeding did not occur either during or after HSG.

Conclusion: Taking delayed radiographs 2 hours post-HSG using Ultra-Fluid Lipiodol exhibits high consistency in evaluating tubal patency and uterine and pelvic cavity morphology compared with the traditional 24-hour scheme.

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来源期刊
CiteScore
2.60
自引率
0.00%
发文量
246
审稿时长
1 months
期刊介绍: Current Medical Imaging Reviews publishes frontier review articles, original research articles, drug clinical trial studies and guest edited thematic issues on all the latest advances on medical imaging dedicated to clinical research. All relevant areas are covered by the journal, including advances in the diagnosis, instrumentation and therapeutic applications related to all modern medical imaging techniques. The journal is essential reading for all clinicians and researchers involved in medical imaging and diagnosis.
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