Reveal the tubal angiography of the "Mysterious Vellet" for gynecological examinations

Sectional visits often need to do some invasive examinations and surgery. Professor Zhu Zhiling, chief physician of the obstetrics and gynecology hospital affiliated to Fudan University, will reveal the tubal angiography of the examination.


Ms. Huang: I am 30 years old and I have never been able to get pregnant for more than a year. My husband and I have conducted some routine inspections, showing that there is nothing abnormal.The doctor suggested that I do a tubal angiography to see if the fallopian tubes are unobstructed.This kind of examination feels terrible to think about it: the contrast agent must be pushed into the uterus and fallopian tube, and also eats rays.Aside from the fear of pain and discomfort, I was also worried about radiation and residuals of radiation. In case of inspection, will the baby be affected?

1. Donetal radiography. Infertility patients are necessary to check pregnancy. In fact, it is not complicated.To put it simply, the basic conditions of three aspects need to be met: first, the man’s semen is normal; second, the woman has normal ovulation; third, the fallopian tube is unobstructed.After the marriage did not contraceptive and the unhappy couple for more than a year, after a routine examination (such as the men’s semen routine, the sex hormone testing of the woman, and the ovulation monitoring), if it was "no abnormal" like Ms. Huang, we would recommend patients to patients at this time.Do a fallopian tube radiography.Because the fallopian tubal angiography can clearly and objectively reflect the situation of the fallopian tube.

The fallopian tubal angiography is to inject the contrast agent into the uterine cavity and the fallopian tube through the catheter, and use X -ray camera to understand whether the fallopian tube is smooth, the blockage site and the shape of the uterine cavity according to the development of the zica in the fallopian tube and pelvic cavity.It can not only intuitively understand whether the fallopian tube is unobstructed and obstructed, but also observe the size, shape of the uterine cavity, abnormally deformed, or uterine cavity adhesion or positioning lesions.Examination.

2. Within half an hour of the whole process, there is no wound, and a bit of inflating fallopian tube angiography should be completed within 3 to 7 days after menstruation (after menstruation is prohibited from sexual life).The entire examination process is generally within half an hour. During this time, doctors injected the contrast agent into the uterine cavity through the natural reproductive channel of the patient’s vagina. Without wounds, the patient may only feel that the lower abdomen is relatively swollen, which is not very painful in the legend.

After surgery, oral antibiotics are generally needed to prevent infection, and basin baths and sexual life need to be banned within 2 weeks.Within 1 week after surgery, patients may have a small amount of vaginal bleeding. If there are no other discomfort, no consultation is required. If the vaginal bleeding amount is large or the bleeding time exceeds one week, you should seek medical treatment in time.

3. The survival of the contrast agent can be ignored. The next month of the menstrual cycle can be prepared by the periodic periodic. It is a relatively safe examination. As the agent is updated, the incidence of drug residues and allergies will be greatly reduced.At present, the contrast agents we use clinical are basically iodine -containing water -soluble preparations, not traditional "iodine oil" preparations."Iodine water" is easier to be absorbed, and the time for retention in the body is very short, and there is no effect on the body. It only needs to be contraceptive as a menstrual cycle in a period of time.

In addition, many patients are worried that accepting X -ray radiation will affect the baby’s development.According to a large number of literature studies, if women receive X -ray irradiation higher than 5000m RAD (RAD is a radioactive dose unit), it may cause embryonic death, and it is not absolute.This is a 0 or 1 problem, that is, if the fetus survives, it will not have an impact.The X -ray radio dose of the first fallopian tubal angiography is 0.02 ~ 0.07 mm RAD, which can basically be ignored.Therefore, the next menstrual cycle after completing the fallopian tube angiography can start pregnancy.

When the fallopian tubal angiography finds that the fallopian tube is a tubal, it is not smooth or unobstructed, and the fallopian tube can be treated at the same time.After passing the liquid, if the bilateral fallopian tube is unobstructed, the probability of pregnancy will increase within half a year.Therefore, one month after the liquid, patients should prepare for pregnancy.

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