KẾT QUẢ KỸ THUẬT CHỤP X-QUANG TỬ CUNG-VÒI TRỨNG BẰNG PHƯƠNG PHÁP HÚT CHÂN KHÔNG TẠI BỆNH VIỆN BẠCH MAI=Results of the technique of hysterosalpingography with cervical vacuum cup cannula at Bach Mai Hospital

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Tác giả: Thu Hương Lại, Hồng Nhung Lưu, Thị Huyền Nguyễn, Thị Thu Hà Nguyễn, Đăng Lưu Vũ

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Tạp chí Điện quang và Y học hạt nhân Việt Nam, 2024

Mô tả vật lý: tr.45787

Bộ sưu tập: Metadata

ID: 486798

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Introduction: According to the World Health Organization (WHO), infertility is the third most dangerous disease, behind cancer and cardiovascular disease, in the 21st century. Vietnam is one of the countries with the highest infertility rate in the world. Hysterosalpingography (HSG) was first introduced in 1910. Hysterosalpingography is a survey of the uterine cavity and two fallopian tubes by contrast injection. Hysterosalpingography with cervical vacuum cup cannula has many advantages compared to hysterosalpingography using Pozzi forceps such as: reduce pain and decrease bleeding and infection rates. Compared with hysterosalpingography using the balloon catheter, hysterosalpingography with cervical vacuum cup cannula is more accessible and cheaper.Objective: Evaluate the results of the technique of hysterosalpingography with cervical vacuum cup cannula.Methods: This cross-sectional and retrospective descriptive study included 178 female patients diagnosed with infertility and assigned to have hysterosalpingography with cervical vacuum cup cannula at Bach Mai Hospital from January 2021 to February 2024.Results: The study was conducted on 178 patients with 169 successful cases achieving a rate of 94.9%. The majority of cases are performed in less than 10 minutes, reaching a rate of 98.2%. The fastest case is 4 minutes, the longest is 12 minutes. 29% of patients did not feel pain during the procedure. The moderate pain and mild pain groups account for 56.25 and 16.8%, respectively. There were no patients in the group with severe or unbearable pain. Only 13 patients, accounting for 7.7%, had minor bleeding complications after the procedure and spontaneously stopped afterward. 7 patients had infectious complications manifested as foul-smelling vaginal discharge, accounting for 4.1%. No patient had a fever, drug allergy, or uterine or fallopian tube perforation during the procedure. 79.3% of cases were willing to have hysterosalpingography with cervical vacuum cup cannula if indicated next time.Conclusion: Hysterosalpingography with cervical vacuum cup cannula has simple technique, low price, high success rate, short procedure time, reduces pain and decrease bleeding and infection complications for the patient. Hysterosalpingography with cervical vacuum cup cannula should be appliedmore widely in medical facilities in diagnosing the cause of female infertility.Tổng quan: Theo Tổ chức Y tế Thế giới (WHO), vô sinh hiếm muộn là căn bệnh nguy hiểm thứ ba, đứng sau ung thư và bệnh tim mạch trong thế kỷ 21. Việt Nam là một trong những nước có tỉ lệ vô sinh cao trên thế giới. Chụp Xquang tử cung vòi trứng (tên tiếng Anh là Hysterosalpinggraphy -HSG), được giới thiệu lần đầu tiên vào năm 1910. Mục đích của phương pháp là để đánh giá sự lưu thông của vòi trứng và đánh giá hình dạng, kích thước bên trong của tử cung- những yếu tố có thể dẫn đến vô sinh và các vấn đề khi mang thai. Chụp Xquang tử cung vòi trứng bằng phương pháp hút chân không có nhiều ưu điểm so với phương pháp sử dụng kẹp Pozzi như giảm cảm giác đau, giảm nguy cơ chảy máu và nhiễm trùng sau thủ thuật. So với phương pháp chụp Xquang tử cungvòi trứng bằng bóng catheter thì phương pháp hút chân không dễ tiếp cận hơn, giá thành rẻ hơn.Mục tiêu: Đánh giá kết quả kỹ thuật chụp Xquang tử cung vòi trứng bằng phương pháp hút chân khôngĐối tượng và phương pháp nghiên cứu: Nghiên cứu mô tả cắt ngang và hồi cứu này bao gồm 178 bệnh nhân nữ được chẩn đoán vô sinh và được chỉ định chụp Xquang tử cung vòi trứng bằng phương pháp hút chân không tại Bệnh viện Bạch Mai từ tháng 1 năm 2021 đến tháng 2 năm 2024. Kết quả: Nghiên cứu được tiến hành trên 178 bệnh nhân có 169 ca thực hiện thành công đạt tỷ lệ 94,9%. Phần lớn các ca được thực hiện trong thời gian ngắn dưới 10 phút đạt tỷ lệ 98,2%. Ca thực hiện nhanh nhất là 4 phút, lâu nhất là 12 phút. 29% bệnh nhân không có cảm giác đau khi thực hiện thủ thuật. Nhóm đau vừa và đau nhẹ chiếm lần lượt là 56,25 và 16,8%. Không có bệnh nhân nào nằm trong nhóm đau nhiều và đau không chịu nổi. Chỉ có 13 bệnh nhân chiếm 7,7% có biến chứng chảy máu nhẹ sau khi làm thủ thuật và tự cầm sau đó. 7 bệnh nhân có biến chứng nhiễm trùng biểu hiện là khí hư có mùi hôi chiếm 4,1%. Không có bệnh nhân nào bị sốt, bị dị ứng thuốc hay thủng tử cung vòi trứng khi làm thủ thuật. 79,3% các trường hợp sẵn sàng chụp Xquang tử cung vòitrứng bằng phương pháp hút chân không nếu được chỉ định ở lần tiếp theo.Kết luận: Chụp Xquang tử cung vòi trứng bằng phương pháp hút chân không với kỹ thuật thực hiện đơn giản, giá thành rẻ có tỷ lệ thành công cao, thời gian thực hiện ngắn, làm giảm cảm giác đau và các biến chứng chảy máu, nhiễm trùng cho bệnh nhân. Chụp Xquang tử cung vòi trứng bằng phương pháp hút chân không nên được áp dụng rộng rãi hơn ở các cơ sở y tế trong chẩn đoánnguyên nhân vô sinh nữ.

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