So Shuhei, Yamaguchi Wakasa, Tajima Hiroko, Nakayama Takeshi, Tamura Naoaki, Kanayama Naohiro, Tawara Fumiko
a Tawara IVF Clinic , Shizuoka , Japan.
b Department of Gynecology & Obstetrics , Shizuoka Kosei Hospital , Shizuoka , Japan , and.
Gynecol Endocrinol. 2017 Sep;33(9):682-685. doi: 10.1080/09513590.2017.1307960. Epub 2017 Apr 17.
Hysterosalpingography (HSG) using iodinated contrast medium is X-ray diagnostic test that examines the inside of the uterus and fallopian tubes in infertile women. In this study, we compared thyroid function (thyroid stimulating hormone: TSH and free-T4: FT4 levels) after HSG with an oil-soluble contrast medium (OSCM) and a water-soluble contrast medium (WSCM). One hundred and sixty-four and 94 patients with normal thyroid function received HSG with OSCM and WSCM, respectively. Approximately 25% of the women in the OSCM group developed subclinical hypothyroidism (SCH), whereas only less than 10% of the patients in the WSCM group developed SCH. Our data clearly indicate that WSCM is safe for thyroid function in women who plan to get pregnant.
使用碘化造影剂的子宫输卵管造影（HSG）是一种X射线诊断测试，用于检查不孕女性的子宫和输卵管内部情况。在本研究中，我们比较了使用油溶性造影剂（OSCM）和水溶性造影剂（WSCM）进行子宫输卵管造影后甲状腺功能（促甲状腺激素：TSH和游离T4：FT4水平）的变化。分别有164例和94例甲状腺功能正常的患者接受了使用OSCM和WSCM的子宫输卵管造影。OSCM组中约25%的女性出现了亚临床甲状腺功能减退（SCH），而WSCM组中只有不到10%的患者出现SCH。我们的数据清楚地表明，对于计划怀孕的女性，WSCM对甲状腺功能是安全的。
