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Ethiodized poppyseed oil-based contrast medium is superior to water-based contrast medium during hysterosalpingography regarding image quality improvement and fertility enhancement: A multicentric, randomized and controlled trial.

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作者：
Zhang Jing[1] * ; Lan Weishun[2] * ; Wang Yitang[3] * ; Chen Kunshan[4] * ; Zhang Guofu[5] ; Yang Wenzhong[2] ; Chen Huichun[6] ; Xu Wenjian[7] ; Ma Jianxin[8] ; Qin Wenhua[9] ; Zhang Yao[10] ; Wang Wuquan[11] ; Wang Huichun[12] ; Dong Zijun[13] ; Wang Yanli[14] ; Chen Yi[15] ; Gang Ning[16] ; Tang Yichuan[17] ;
机构： [1]Department of Interventional Radiology, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, No. 106 Zhongshan Second Rd, Guangzhou, Guangdong 510080, China. [2]Department of Medical Imaging, Maternal and Child Health Hospital of Hubei Province, Wuhan 430070, China. [3]Department of Interventional Therapy/Angiomatology, Dalian Municipal Women and Children's Medical Center (Group), Dalian 116037, China. [4]Department of Interventional Radiology, Guangzhou Women and Children's Medical Center, Guangzhou 510080, China. [5]Department of Radiology, Obstetrics and Gynecology Hospital of Fudan University, Shanghai 200011, China. [6]Reproductive Medicine Center, Chengde Central Hospital, Chengde 067000, China. [7]Department of Interventional Radiology, Nanjing Maternity and Child Health Care Hospital, Nanjing 210004, China. [8]Reproductive Medicine Center, Cangzhou Hospital of Integrated TCM-WM, Cangzhou 061899, China. [9]Department of Radiology, Liuzhou Maternity and Child Healthcare Hospital, Liuzhou 545001, China. [10]Reproductive Medicine Center, Mianyang Central Hospital, Mianyang 621000, China. [11]Interventional Radiography, Lanzhou University Second Hospital, Lanzhou 730030, China. [12]Reproductive Center, Maternal and Child Health Hospital of Haidian District Beijing, Beijing 100080, China. [13]Department of Radiology, Lianyungang Maternal and Child Health Hospital, Lianyungang 222000, China. [14]Department of Intervention, The First Affiliated Hospital of Zhengzhou University, Zhengzhou 450000, China. [15]Medical Reproduction Center, Chenzhou First People's Hospital, Chenzhou 423000, China. [16]Department of Radiology, West China Second University Hospital, Sichuan University/West China Women's and Children's Hospital, Chengdu 610066, China. [17]Department of Interventional, Jinjiang Maternity and Child Health Hospital, Chengdu 610016, China.
出处：
DOI： 10.1016/j.eclinm.2022.101363
ISSN：

关键词： Hysterosalpingography Ethiodized poppyseed oil-based contrast medium Image quality Fertility enhancement Safety

摘要：
The efficacy of ethiodized poppyseed oil in hysterosalpingography (HSG) image quality and fertility enhancement has been revealed, but whether this HSG modality has similar effects in the Chinese population is still unclear.Between July 18, 2017, and December 29, 2019, this multicentric, randomized, two-arm, clinical trial was performed involving 15 medical centers. Infertile women meeting HSG indications were randomly assigned to an oil group and a water group. The coprimary outcome included HSG image quality during HSG and fertility-enhancing effects of HSG. This study was registered on ClinicalTrials.gov (NCT03370575).A total of 1026 subjects were randomly assigned to an oil group (N = 508) and a water group (N = 518). HSG image quality revealed that the oil group had outstanding visualization (all P < 0.001); total image quality scores for uterus opacification or uterine outline (2.9 ± 0.4 vs. 2.7 ± 0.5), fallopian tube outline (2.3 ± 0.8 vs. 1.7 ± 0.7), fimbrial rugae (1.7 ± 1.0 vs. 1.3 ± 0.8), fallopian tube spillage (2.1 ± 0.9 vs. 1.6 ± 0.8), peritoneal distribution (2.6 ± 0.9 vs. 2.1 ± 1.0) and diagnostic quality (11.6 ± 3.4 vs. 9.5 ± 3.1) (all P < 0.001) were higher in the oil group than in the water group. Regarding fertility-enhancing evaluation, the oil group showed an increased cumulative on-going pregnancy rate, on-going pregnancy within 6 months (29.1% vs. 20.1%), clinical pregnancy (39.5% vs. 29.1%) and live birth ≥ 24 weeks of gestation (36.1% vs. 27.7%) but a shorter time to pregnancy than the water group (all P < 0.01). Concerning adverse events, the oil group showed a lower occurrence rate of abdominal pain and vaginal bleeding after HSG (both P < 0.01).Ethiodized poppyseed oil-based contrast is superior to water-based contrast during HSG in terms of image quality improvement and fertility enhancement. This study indicates the priority of the application of ethiodized poppyseed oil-based contrast during the HSG procedure in infertile patients.No funding was received.© 2022 The Authors.

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大类 | 1 区 医学
小类 | 1 区 医学：内科
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最新[2023]版：
Q1 MEDICINE, GENERAL & INTERNAL

影响因子： 最新[2023版] 最新五年平均 出版当年[2020版] 出版当年五年平均 出版前一年[2019版] 出版后一年[2021版]

第一作者：
第一作者机构： [1]Department of Interventional Radiology, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, No. 106 Zhongshan Second Rd, Guangzhou, Guangdong 510080, China.
共同第一作者：
通讯作者：
推荐引用方式(GB/T 7714)：
Zhang Jing,Lan Weishun,Wang Yitang,et al.Ethiodized poppyseed oil-based contrast medium is superior to water-based contrast medium during hysterosalpingography regarding image quality improvement and fertility enhancement: A multicentric, randomized and controlled trial.[J].ECLINICALMEDICINE.2022,46:doi:10.1016/j.eclinm.2022.101363.
APA：
Zhang Jing,Lan Weishun,Wang Yitang,Chen Kunshan,Zhang Guofu...&Tang Yichuan.(2022).Ethiodized poppyseed oil-based contrast medium is superior to water-based contrast medium during hysterosalpingography regarding image quality improvement and fertility enhancement: A multicentric, randomized and controlled trial..ECLINICALMEDICINE,46,
MLA：
Zhang Jing,et al."Ethiodized poppyseed oil-based contrast medium is superior to water-based contrast medium during hysterosalpingography regarding image quality improvement and fertility enhancement: A multicentric, randomized and controlled trial.".ECLINICALMEDICINE 46.(2022)

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