For some infertility or gynecological diseases, a salpingography examination is required. Generally, salpingography needs to be performed 3-7 days after the menstrual period, and two images are taken. After the examination, many working women worry whether they can return to work. So, can they go back to work after hysterosalpingography? In fact, regular hysterosalpingography only takes a dozen minutes and is a non-invasive examination that does not affect work. Hysterosalpingography is a procedure in which iodine contrast medium is injected directly from the cervical canal into the uterine cavity, and then through the uterine cavity to the fallopian tube, to understand the patency of the uterine cavity and fallopian tube cavity under X-ray fluoroscopy. Generally, sexual intercourse is abstained during 3 to 7 days after the menstrual period and angiography is performed. The film was taken twice in total. One film was taken after the contrast agent showed the condition of the uterus and fallopian tubes. Another film was taken the next day to observe the patency of the fallopian tubes and the distribution of the contrast agent in the pelvis. adapt 1. Auxiliary examination for infertility. 2. Chronic inflammation of reproductive organs, tuberculosis lesions, etc. 3. Malformations of reproductive organs, such as septate uterus, saddle-shaped uterus, etc. 4. Uterine tumors, such as submucosal fibroids, etc. 5. Abnormal morphology of the cervical canal, etc. Contraindications 1. There are serious diseases in the whole body. 2. Acute inflammation period of reproductive organs. 3. Irregular vaginal bleeding, or menstrual period. 4. Body temperature above 37.5℃. 5. Patients with malignant tumors in the uterine cavity. 6. Pregnancy. 7. People who are allergic to iodized oil. Inspection process 1. The patient takes the lithotomy position, disinfects the vulva and vagina with 0.25% active iodine, exposes the cervix with a vaginal speculum, and disinfects the cervix again. 2. Use a cervical forceps to clamp the anterior lip of the cervix and pull it outwards. Insert the sterilized double-lumen balloon tube into the external os of the cervix. Use a syringe to inject 1 to 2 ml of air into the balloon. Gently pull the double-lumen tube outwards by hand without slipping. 3. Ask the patient to lie supine on the fluoroscopic table under X-ray, and inject 10 ml of the prepared 20% to 40% iodized oil through the double-lumen tube. Take a film when the iodized oil fills the uterus and fallopian tubes, and pay attention to whether the iodized oil spreads from the fallopian tube opening to the pelvic cavity. Ask the patient to take the second film after 24 hours. |
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