Sequelae of iodized oil fallopian tube radiography

In life, many couples who have not gotten pregnant after a few years of sex will generally go to the hospital for some relevant examinations. When women are examined, they usually have their fallopian tubes examined first. Currently, iodized oil angiography is a commonly used method for fallopian tube examinations. The accuracy rate is relatively high when this method is used, but it will also have a certain impact on women's physical health.

Sequelae of lipiodol fallopian tube radiography

(1) Venous return:

It may be caused by device damage to the endometrium, inflammation of the endometrium, excessive injection pressure, excessive contrast dose, etc. Literature reports that if the oil causes oil embolism or allergic reaction, the patient may cough, suffer chest pain, palpitations, irritability, shock and coma during and after angiography, and may die suddenly. Therefore, preparations for anti-allergic and shock rescue should be made before the operation.

(2) Infection:

The original inflammation causes an attack, or lax aseptic operation leads to nosocomial infection, causing metritis, adnexitis, pelvic inflammatory disease, peritonitis, etc. Attention should be paid to preventing and treating infection, and antibiotics should be used appropriately.

To prevent infection caused by residual dirt in the instruments, preoperative disinfection must ensure that there is no microbial contamination; after surgery, the catheter and syringe should be cleaned with ether, or soaked in sodium bicarbonate solution and then cleaned, so as to prevent iodized oil from being retained in the tube and causing adverse stimulation or infection when used next time. It is best to use disposable instruments to prevent cross infection.

(3) Postoperative observation

If the patient is in severe pain after the operation, he or she should rest and observe in the radiology department. If necessary, he or she should stay in the observation room or be hospitalized for diagnosis and treatment to avoid accidents.

Indications

1. Infertility

Used to understand the causes of primary or secondary infertility, it can not only understand whether there are congenital malformations or pathological conditions in the uterus and fallopian tubes, but also understand whether the fallopian tubes are unobstructed, thereby finding the cause of infertility. In some cases, hysterosalpingography can help blocked fallopian tubes become unobstructed and lead to conception.

2. Abnormal uterine bleeding

Find out the cause of abnormal uterine bleeding, understand the condition of the uterine mucosa and uterine cavity, and determine whether the abnormal bleeding is caused by endometrial polyps or submucosal myoma.

3. Recanalization of fallopian tubes

If you want to reopen your fallopian tubes after tubal ligation, you must understand the condition of your uterus and fallopian tubes to decide whether surgery is possible.

4. Tumor

Observe the effects of uterine fibroids, adnexal tumors and other pelvic organs on the uterus and fallopian tubes.

5. Deformity diagnosis

Uterine malformations such as bicornuate uterus, septate uterus, etc.

6. Foreign body diagnosis

Misplaced metal intrauterine device.

7. Diagnosis of adhesions

Intrauterine adhesions, cervical adhesions, etc.