摘要
目的:比较宫腔镜下输卵管导管通液术与子宫输卵管碘油造影(HSG)诊断输卵管性不孕的临床价值。方法:对2008年1月至2009年12月880例不孕症患者行宫腔镜下输卵管插管通液术,术前均常规行子宫输卵管碘油造影术,比较两者诊断的符合率并分析两种检查方法在评价输卵管通畅度方面的特点和应用价值。结果:子宫输卵管碘油造影和宫腔镜插管通液均诊断输卵管不通784条,通畅799条,通而不畅65条,两者符合率93.6%(1648/1760),不符合率6.4%(112/1760)。HSG检查输卵管通畅度的假阳性率为11.8%(107/906)。结论:宫腔镜下输卵管导管通液术能更精确地判断输卵管的通畅度,患者未接触有害物质,同时可以直接观察宫腔情况并治疗。在判定输卵管梗阻部位方面HSG优于宫腔镜检查。
Objective：To compare clinical application value of the hysteroscopic hydrotubation and hysterosalpingography in tubal infertility diagnosis.Methods：880 cases diagnosed infertility were examined by hysteroscopic hydrotubation from Jan.2008 to Dec.2009 in our hospital,every patient was examined by Hysterosalpingography routinely preoperative.We compared the application value of the two methods on evaluating fallopian tube patency and diagnosis coincidence rate.Result：Hysterosalpingography and hysteroscopic hydrotubation both found 784 tubes blocked,799 tubes opened,65 tubes opened not fluently,the coincidence rate was 93.6%（1648/1760）,6.4%（112/1760）cases were diagnosed inconsistently by the two methods.The false positive rate of HSG was 11.8%（107/906） on tube patency diagnosis.Conclusion：Hysteroscopic catheter hydrotubation was more accurate on diagnosis of tube patency.Patients were not contact with harmful substance,uterine cavity status could be observed and cured directly.HSG was superior to hysteroscopic hydrotubation on evaluating definite part of tubal obstruction.
出处
《现代妇产科进展》
CSCD
北大核心
2011年第7期563-565,共3页
Progress in Obstetrics and Gynecology
