期刊文献+

经阴道超声输卵管显影与腹腔镜检查的对照研究 被引量:1

Comparative Study of Transvaginal Sonosalpingography with Laparoscopy
下载PDF
导出
摘要 目的 :通过与腹腔镜检查的比较 ,评价经阴道超声输卵管显影对输卵管病变的诊断价值。 方法 :对 5 2例原发性或继发性不孕症病人的 10 4根输卵管在生理盐水和空气的介导下进行经阴道超声输卵管显影的检查 ,继之作腹腔镜检查并以美蓝作输卵管通色素试验 ,二者的结果作kappa分析。  结果 :对输卵管伞端形态异常 ,2种方法的诊断符合率为 82 .7% ,超声输卵管显影的灵敏度和特异度分别为 77.4 %和 87.2 % ;对输卵管周围粘连 ,符合率为 80 .8%。灵敏度和特异度分别为 79.4 %和 83 .0 % ;对输卵管通畅性的诊断 ,3项指标分别为 87.5 % ,87.7%和 87.0 %。超声输卵管显影对输卵管病变的诊断价值与腹腔镜检查无显著性差异。 结论 :经阴道超声输卵管造影是一种可靠实用的检查方法 ,可作为不孕症初步诊断中首选方法。 Objectives: To evaluate the value of transvaginal sonosalpingography in diagnosis of tubal pathology comparied with laparoscopy. Methods: Fifty two patients (104 tubes) suffered from primary or secondary stertility were examined with transvaginal sonosalpingography,using saline solution and air as a contrast medium. The results were compared with the findings at laparoscopy and chromotubation with Methylwne blue solution. Results: In diagnosing abnormality of tubal fimbria ,the findings of both methods agreed in 89 out of 104 tubes (concordance,82.7%) .The sensitivity and specificity of sonosalpingography were 77.4% and 87.2%,respectively.In the adhesion around the fallopian tube,the concordance was 80.8%. The sensitivity was 79.4% and the specificity 83.0%. The concordance ,sensitivity and specificity in diagnosing tubal patency was 87.5%,87.7% and 87.0%,respectively.There was no significant difference in the assessment of tubal pathology between sonosalpingography and laparoscopy. Conclusions: Transvaginal sonosalpingography (TSSG) is a reliable examination method, which can be used as a first selected of tubal pathology for the primary investigation of infertility .
出处 《中华男科学杂志》 CAS CSCD 2001年第5期306-308,共3页 National Journal of Andrology
基金 金华市科技计划重点项目 ( 2 0 0 1 1 0 75 )
关键词 超声波检查 腹腔镜 输卵管造影 女性不育 诊断 Ultrasonography Salpingography Laparoscopy Stertility
  • 相关文献

参考文献1

共引文献10

同被引文献10

  • 1李健,柴冬宁,郑天昕,谢红斌.宫腔镜联合腹腔镜在输卵管性不孕中的应用[J].现代妇产科进展,2007,16(2):150-151. 被引量:30
  • 2Camuzcuoglu H, Yildirim Y, Sadik S, et al. Comparison of the accuracy of hysteroscopy and hysterosalpingography in evaluation of the uterine cavity in patients with recurrent pregnancy loss [ J ] . GynecolSurg, 2005, 2 (3): 159-163.
  • 3Volpi E, Zuccaro G, Patriarca A, et al. Transvaginal sonographic tubal patency testing using air and saline solution as contrast media in a routine infertility clinic setting [ J ] . Ultrasound Obstet Gynecol, 1996, 7 ( 1 ) : 43-48.
  • 4Inki P, Palo P, Anttila L. Vaginal sonosalpingography in the evaluation of tubal patency [ J ] . Acta Obstet Gynecol Scand, 1998, 77 (10) : 978-982.
  • 5Dueholm M, Forman A, Jensen ML, et al. Transvaginal sonography combined with saline contrast sonohysterography in evaluating the uterine cavity in premenopausal patients with abnormal uterine bleeding [ J ] . Ultrasound Obstet Gynecol, 2001, 18 ( 1 ) : 54-61.
  • 6Spalding H, Martikainen H, Tekay A, et al. Trausvaginal salpingosouography for assessing tubal patency in women previously treated for pelvic inflammatory disease and benign ovarian tumors [ J ]. Ultrasound Obstet Gynecol, 1999, 14 ( 3 ) : 205-209.
  • 7Jeanty P, Besnard S, Arnold A, et al. Air-contrast sonohysterography as a first step assessment of tubal patency [ J ] . J Ultrasound Med, 2000, 19 ( 8 ) : 519-527.
  • 8罗丽兰.不孕与不育[M].北京:人民卫生出版社,1999.213-215.
  • 9匡延平,胡竞,艾爱,何晓红.超声输卵管显影技术的研究[J].中国临床医学,1999,6(2):181-183. 被引量:11
  • 10汪玉宝,高敏芝,戴良珏,郑毓雯.上海市闸北区不育夫妇现状研究[J].中国计划生育学杂志,2002,10(7):410-413. 被引量:38

引证文献1

二级引证文献6

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部