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目的通过分析经阴道子宫输卵管四维超声造影(TV4D-HyCoSy)过程中患者的不良反应,总结归纳适当的应对措施。方法选择2013年7月至2015年1月在四川大学华西第二医院超声科拟行TV4D-HyCoSy的不孕症患者,采用TV4D-HyCoSy评估输卵管的通畅性,观察记录患者术中的不良反应和采取的措施并进行随访。结果共纳入163例患者,有154例患者完成检查。造影过程中腹部疼痛的Stacey量表分级为0级1例(0.65%),1级92例(59.74%),2级47例(30.52%),3级14例(9.09%),无4级不良反应。153例患者阴道少量点滴出血,1例患者阴道大量出血。对疼痛的患者采取暂停检查、休息、热敷、吸氧或注射阿托品等措施。阴道少量出血的患者可不用药并严密观察,阴道大量出血时服用止血药。所有患者的不良反应均在检查完成后7d内消失。结论 TV4D-HyCoSy的大部分不良反应患者能够耐受,严重不良反应率低,且能通过适当的治疗或休息后缓解。
Objective To summarize the appropriate countermeasures by analyzing the adverse reactions of patients in transvaginal uterine tubal four-dimensional contrast-enhanced ultrasound (TV4D-HyCoSy). Methods From July 2013 to January 2015, TV4D-HyCoSy infertility patients were enrolled in the Department of Ultrasound, Huaxi Second Hospital, Sichuan University. TV4D-HyCoSy was used to assess tubal patency. Observe the adverse reactions and Measures taken and followed up. Results A total of 163 patients were enrolled and 154 patients completed the examination. The Stacey scale for abdominal pain during radiography was classified as grade 0 in 1 case (0.65%), grade 1 in 92 (59.74%), grade 2 in 47 (30.52%), grade 3 in 14 (9.09%), grade 4 Adverse reactions. 153 cases of patients with a small amount of vaginal bleeding, vaginal bleeding in a large number of patients. On the pain of patients to suspend examination, rest, heat, oxygen or injection of atropine and other measures. A small amount of vaginal bleeding in patients without medication and close observation, vaginal bleeding when taking hemostatic drugs. Adverse reactions of all patients disappeared within 7 days after the examination was completed. Conclusions Most patients with TV4D-HyCoSy can tolerate these patients with low rates of serious adverse reactions and can be relieved with appropriate treatment or after-breaks.