Duleba A J, Nachtigall M, Olive D L
Department of Obstetrics and Gynecology, Yale University School of Medicine, New Haven, Connecticut, USA.
Int J Fertil Menopausal Stud. 1995 Mar-Apr;40(2):92-5.
OBJECTIVE -- To describe the technique of hysterosalpingography with endocervical placement of the balloon of the catheter rather than endometrial placement. PATIENTS -- 48 consecutive patients undergoing hysterosalpingography in the course of infertility work-up at a university hospital. METHOD -- With the patient in the lithotomy position, the cervix is visualized and cleansed. The catheter and balloon are inserted in the cervical canal and inflated with the contrast agent. The contrast agent is injected slowly at low pressure, and three to six spot films are obtained. Only gentle traction can be applied by this method, so oblique views are obtained early in the examination. RESULTS -- Balloon placement was atraumatic. Although good views were obtained more frequently than with traditional techniques, about one-quarter of the studies were unsatisfactory. CONCLUSION -- This method is easy, atraumatic, and allows excellent visualization of the entire endometrial cavity and upper intracervical canal.
目的——描述通过将导管球囊置于宫颈管而非子宫内膜来进行子宫输卵管造影的技术。患者——一所大学医院在不孕症检查过程中连续48例行子宫输卵管造影的患者。方法——患者取膀胱截石位，暴露并清洁宫颈。将导管和球囊插入宫颈管，并用造影剂充盈。造影剂在低压下缓慢注入，获取三至六张点片。此方法只能施加轻柔牵引，因此在检查早期获取斜位片。结果——球囊放置无创伤。尽管与传统技术相比更常获得良好的影像，但约四分之一的检查结果不满意。结论——该方法简便、无创伤，能很好地显示整个子宫内膜腔和宫颈管上段。
