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Clinical application of hysterosalpingography with a double-lumen catheter of a contrast media combination consisting iohexol and saline

XI Jia-yuan, JIANG Yong, CAO Xin-hua, ZHU Ying, L Liang, ZHAO Xin-xiang, WEI Ding-ying, SHAO Jing-yi, HUA Jian. Department of Radiology, First Provincial Hospital of Yunnan, Kunming 650032, China  
Objective To evaluate the clinical value of hysteosalpingographic diagnosis in infertile women. Methods After a catheter with a double-lumen saccule was inserted into the uterine cavity, saline or air of 2.5- 3.5ml was injerted to fill the saccule. The filled saccule was inserted at the isthmus of uterus for blocking the internal orifice. The contrast medium was injected through the catheter into the uterine cavity and fallopian tubes to undertake hysterosalpingography and fallopian tube reopening. In case of fallopian tube obstruction, the injection pressure could be increased to obtain recanalization. All operations and selective imagings were carried out under TV supervision. Results 2 698 cases including 806 primary infertile women and 1 868 secondary infertile women were examined by this method. Technical success rate was 99.5% with 2 198 cases (81.9%) having normal uterus, 249 (9.3%) congenital abnormal uterus and 238 (8.9%) uterus diseases. The number of obstructed fallopian tube was 3 028 with 117 serious hydropsy (3.8%). Ninety-eight cases had been examined with lipiodol hysterosalpingography in other hospitals with 35 cases still having lipiodol accumulated within the uterine cavities and fallopian tubes. No serious complications or death occurred except slight pain. Conclusions Double-lumen cather with a contrast media combination of iohexol and saline for hysterosal pinography is safe, easy and effective, outcoming with excellent quality images. More information can be gained with this method than traditional lipiodol hyterosalpinography, and furthermore could have compression during radiogrophy and avoid the long term stasis of lipiodal.
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