Principle】
X-ray contrast agent is injected into the uterine cavity and fallopian tubes to observe the internal cavity, location, size, morphology, any deformity or pathological changes as well as the site, scope and size of lesions through X-ray fluoroscopy and radiographs.
Indications
1. Infertility. In cases of cohabitation without contraception and infertility for more than one year, except for those with ovulation factor infertility and male partner semen abnormalities, re-imaging is performed to determine the site of obstruction for further diagnosis and treatment reference.
2. Determine the category of genital tract abnormality. Yang Wei, Department of Traditional Chinese Medicine, Beijing Maternity Hospital
[Contraindications
1.Acute and subacute inflammation of the genital tract.
2.Serious systemic diseases, such as heart and lung diseases.
3.Normal childbirth, abortion, curettage or within 6 weeks after delivery.
4.People with menstrual period, uterine or cervical bleeding.
5.Iodine allergy.
6, fever.
7, menopause has not yet ruled out pregnancy.
Operation method and procedure
1.Take the bladder truncated position, check the uterine orientation, routinely disinfect the vulva and vagina, and lay sterile hole towel.
2.Expose the cervix with a speculum, disinfect the cervix and fornix with iodine and alcohol.
3.Cervical forceps fix the anterior lip of the uterine cervix and probe the depth of the official cavity in the direction of the uterus.
4.Contrast agent is pumped into a 20 ml syringe and injected into the fluid passageway to drive out the fluid and gas inside it.
5.Insert the head into the cervical canal and plug the external cervical opening, inject iodophoresis injection slowly under X-ray fluoroscopy, observe its entry into the uterus and flow through the fallopian tubes, and take a film. If there is scattered iodine in the pelvic cavity, it means that the fallopian tube is open. If the fallopian tube is not open, the site of obstruction can be determined by the accumulation of iodophoresis.