salpingography

Fallopian tube angiography is X-ray hysterosalpingography. The contrast agent is injected into the uterine cavity and fallopian tube through the catheter. X-ray fluoroscopy and radiography are performed by X-ray diagnostic apparatus. The fallopian tube is understood according to the development of the contrast agent in the fallopian tube and pelvic cavity. An examination method for patency, obstruction, and uterine morphology. Treating diseases: female infertility Indication 1. Infertility: To understand the causes of primary or secondary infertility, it can not only understand the presence of congenital malformations or pathological conditions in the uterus and fallopian tubes, but also understand whether the fallopian tubes are unobstructed and thus find infertility. the reason. In some cases, after hysterosalpingography, it can promote the unobstructed fallopian tube to become fluent and conceive. 2. Abnormal uterine bleeding: Find the cause of abnormal uterine bleeding, understand the uterine mucosa and uterine cavity, and determine whether abnormal bleeding is caused by endometrial polyps or submucosal fibroids. 3. Fallopian tube recanalization: If the tubal is to be recanalized after ligation, it is necessary to understand the condition of the uterine fallopian tube to determine whether it can be operated. 4. Tumor: Observe the effect of uterine fibroids, attached tumors and other pelvic organs on the uterine fallopian tubes. 5. Malformation diagnosis: uterine malformations such as double-horned uterus, mediastinal uterus, etc. 6. Foreign body diagnosis: Metal intrauterine device is ectopic. 7. Adhesion diagnosis: intrauterine adhesions, cervical adhesions, etc. Contraindications 1. Acute and subacute internal and external genital inflammation. 2. Severe systemic diseases cannot tolerate surgery. 3. Pregnancy and menstrual period. 4. Postpartum, abortion, and curettage within 6 weeks. 5. Iodine allergies. Preoperative preparation 1. The patient's menstruation is clean for 3 to 7 days, and the sex life is forbidden. 2. The patient empties the bladder. 3. Atropine 0.5mg can be injected intramuscularly half an hour before surgery to reduce tubal spasm. 4. Patients with constipation can take oral laxatives before surgery to keep the uterus in a normal position and avoid external pressure artifacts. Surgical procedure 1. When performing angiography, the patient lies on the X-ray machine operating platform and takes the bladder lithotomy position. Routinely disinfect the vulva and vagina, spread the sterile towel, and check the position and size of the uterus again. 2. Observe the contrast agent flow through the uterine cavity and fallopian tube under X-ray fluoroscopy and take a picture. Iodine oil was slowly injected under fluoroscopy. The first injection amount is 3~5ml, and it is observed when it enters the uterus and flows through the fallopian tube. Continue to push the iodized oil 3~5ml, and take the film after 5~10 minutes. 3. Use the speculum to dilate the vagina, expose the cervix, disinfect the cervix and ankle with iodophor, and fix the anterior lip of the cervix with a cervical clamp to explore the uterine cavity. Iodine oil is filled into the cervical canal, and the air in the tube is removed, and then inserted into the cervical canal in the direction of the uterine cavity. The cervical forceps are tightened so that the tapered rubber head of the catheter is tightly attached to the cervix to prevent leakage during the injection. 4. Contraction or fallopian tube fistula, can be acupuncture Hegu, Neiguan or intramuscular injection, and then take a third film in the same part 24 hours, observe the presence or absence of free iodized oil in the abdominal cavity. See the clear iodine group, consider the tubal adhesions. Tubal adhesions were light and heavy, adhesions were divided into three degrees, and the adhesion of the fallopian tube was one degree: the adhesion between the fallopian tube and the uterine horn was twice; the tubal and the umbrella were three degrees. complication 1. Since the main practice is to inject the contrast agent into the fallopian tube and the uterus, the main procedure is performed under X-ray. Such a body will be difficult to avoid absorbing part of the X-ray. However, there is no need to worry too much about this patient, because the degree of damage caused by the instantaneous irradiation of the X-ray to the body is controllable and reversible. Of course, patients should pay attention to the protection measures during the routine X-ray examination. As long as the basic protective measures are taken, the safety factor is still quite high, so patients do not need to fear. 2. In addition, because the X-ray tubal angiography uses iodine contrast agent, the density of iodized oil is quite large. The reason for using high-density iodized oil is that the development effect is excellent, but the irritancy is relatively large. Postoperative may have a relatively large abdominal pain, and may also cause chemical peritonitis. In addition, the inspection time is relatively long, and it is easy to cause the foreign body to produce granuloma, and the absorption rate is slow. In addition, if the amount of the vein is excessive, the oil plug may be caused. 3. Other fallopian tube angiography side effects and precautions There may be individual patients who may have symptoms such as chest tightness, shortness of breath, nausea, vomiting, cough and stomachache. In addition, very few patients may have some allergic reactions due to personal circumstances, and serious patients may even occur. Allergies and very few patients may have concurrent infections.