子宫输卵管碘油造影在输卵管性不孕中的应用分析  

The Diagnostic Accuracy of Hysterosalpingography for the Evaluation of the Tubal and Pelvic Factors in Female Infertility

作　　者：李玉艳[1] 俞炽阳[1] 王凤英[1] 屈宗银[1] 

机构地区：[1]第三军医大学西南医院,重庆400038

出　　处：《实用妇产科杂志》2007年第6期366-368,共3页Journal of Practical Obstetrics and Gynecology

摘　　要：目的:评价子宫输卵管碘油造影在输卵管性不孕中的应用价值。方法:前瞻性研究分析119例行子宫输卵管碘油造影(HSG)和腹腔镜检查的病例资料。结果:子宫输卵管碘油造影诊断输卵管内部通畅情况的总符合率为84.3%(194/230),诊断盆腔粘连的灵敏度为96.3%(52/54),特异度为63.6%(7/11),但HSG后有17条输卵管在腹腔镜检查时出现梗阻。结论:作为一种经济的检查方法,子宫输卵管碘油造影(HSG)可以较准确地判断输卵管内部的通畅情况及盆腔粘连情况,但如果输卵管中有碘油残留,应及时行腹腔镜手术清除防止输卵管进一步梗阻。Objective： To evaluate the diagnostic accuracy of hysterosalpingography（HSG） for tubal infertility. Methods：A total of 119 female infertile patients undergoing laparoscopy after HSG were included. The tubal and pelvic pathologies were compared within operative procedures. Results： With surgical findings as the gold standard, HSG had a total coincidence of 84.3% （194/230）and 90.8%（59/65）, a specificity of 61.4% （27/44） and 63.6% （7/11） , a sensitivity of 89.8% （167/186） and96.3% （52/56）, and a Youden index of 0 . 512 and0.599 for diagnosis of tubal patency and pelvic factor, respectively. Conclusions： As a preliminary economic method, HSG has special diagnostic value for detection of female upper genital tract pathologies.

关 键 词：子宫输卵管碘油造影 腹腔镜检查 输卵管性不孕 

分 类 号：R711.6[医药卫生—妇产科学]