Comparison analysis of the results of hysterosalpingography with different iodized oil-based contrast medium in primary infertility patients
10.3969/j.issn.1002-1671.2024.09.027
- VernacularTitle:原发不孕症患者对不同碘油对比剂在子宫输卵管造影后结果的比较分析
- Author:
Yin WANG
1
;
Ziwei DU
;
Wenjian XU
;
Cheng LI
;
Maoquan LI
Author Information
1. 南京医科大学附属妇产医院(南京市妇幼保健院)介入科,江苏 南京 210004
- Keywords:
ultra-liquefied ethiodized poppyseed oil-based con-trast medium;
iodized oil-based contrast medium;
hysterosalpin-gography;
primary infertility;
natural pregnancy rate
- From:
Journal of Practical Radiology
2024;40(9):1514-1517
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare and analyze the results of hysterosalpingography(HSG)in primary infertility patients who received ultra-liquefied ethiodized poppyseed oil-based contrast medium or iodized oil-based contrast medium.Methods A total of 212 patients with primary infertility who received HSG examination were enrolled,of which 96 patients were in the ultra-liquefied ethiodized pop-pyseed oil-based contrast medium group,while 116 patients were in the iodized oil-based contrast medium group.The visual analogue scale(VAS)score of pain during HSG,adverse reactions(allergic reaction of contrast medium,contrast medium reflux,etc.),24 h-peri-toneal distribution and natural pregnancy rate within 1 year after HSG were analyzed between the two groups.Results The VAS score[(1.62±0.92)points]and the incidence of contrast medium reflux(5.2％)in the ultra-liquefied ethiodized poppyseed oil-based con-trast medium group were lower than those in the iodized oil-based contrast medium group[(3.2±1.42)points and 13.8％],respectively and the differences between the two groups were statistically significant(P＜0.05).In the 24 h-peritoneal distribution,the diagnosis rate of mild pelvic adhesion in the ultra-liquefied ethiodized poppyseed oil-based contrast medium group(26％)was lower than that in the iodized oil-based contrast medium group(39.7％),and the difference was statistically significant(P=0.041).The natural pregnancy rate of the two groups within 1 year was significantly improved,but there was no significant difference between the two groups(P＞0.05).Conclusion Ultra-liquefied ethiodized poppyseed oil-based contrast medium has less pain,lower incidence adverse reactions and better peritoneal distribution,and improve the natural pregnancy rate in primary infertility patients undergoing HSG.It is a high priority contrast medium for HSG.
