de Boer A D, Vemer H M, Willemsen W N, Sanders F B
Department of Obstetrics and Gynecology, St. Radboud University Hospital, Nijmegen, The Netherlands.
Eur J Obstet Gynecol Reprod Biol. 1988 May;28(1):65-8. doi: 10.1016/0028-2243(88)90060-3.
In this prospective randomized clinical study the pregnancy rate and the quality of the images obtained by hysterosalpingography (HSG) in 175 women with fertility problems have been compared using an oil-soluble contrast medium and an aqueous contrast medium. After the HSG there was a follow-up period of 6 months. No statistically significant difference in pregnancy rate was found. With both contrast media good images were obtained. The oil-soluble contrast medium gave a more sharply outlined uterine cavity, the aqueous contrast medium showed more tubal details. Furthermore, the control picture with the aqueous contrast medium can be prepared after ten minutes. We conclude that the use of an aqueous contrast medium for routine HSG is preferable.
在这项前瞻性随机临床研究中，对175名有生育问题的女性使用油溶性造影剂和水溶性造影剂进行子宫输卵管造影（HSG），比较了妊娠率和所获得图像的质量。HSG检查后有6个月的随访期。未发现妊娠率有统计学上的显著差异。两种造影剂均能获得良好的图像。油溶性造影剂使子宫腔轮廓更清晰，水溶性造影剂显示出更多的输卵管细节。此外，水溶性造影剂的对照图像在十分钟后即可制备。我们得出结论，常规HSG使用水溶性造影剂更可取。
