132例不孕症子宫输卵管造影结果回顾性分析  

Retrospective analysis of hysterosalpingography in 132 infertile cases

作　　者：廖爱华[1] 周慧[1] 朱继望[1] 姚念[1] 

机构地区：[1]华中科技大学同济医学院生殖医学中心,湖北武汉430030

出　　处：《中国妇幼保健》2008年第7期953-955,共3页Maternal and Child Health Care of China

摘　　要：目的:探讨子宫输卵管造影术(HSG)在不孕症中的诊断价值。方法:收集132例不孕症患者子宫输卵管造影及其临床资料进行回顾性分析。结果:子宫性不孕占19.70%,输卵管性不孕占52.45%。264支输卵管中通畅129支(48.86%),不完全梗阻67支(25.38%),完全梗阻68支(25.76%)。HSG24h后盆腔造影剂弥散情况显示,盆腔见大量均匀弥散造影剂21例(15.91%),部分不均匀弥散造影剂44例(33.33%),未见造影剂20例(15.15%),盆腔见弥散造影剂且输卵管内有造影剂残留22例(16.67%),盆腔见少许造影剂、输卵管内无造影剂残留17例(12.88%),盆腔造影剂呈团块状聚集无弥散性造影剂8例(6.06%)。结论:子宫输卵管造影能显示子宫腔和输卵管的全部形态,可精确判断宫腔内和输卵管腔内的病变及通畅情况,是诊断女性不孕症必不可少的方法。Objective： To investigate the value of hysterosalpingography （HSG） in the diagnosis of infertility. Methods： Hystero-salpingographic and clinical materials of 132 cases with infertility were collected and analyzed retrospectively. Results： Among 132 cases, abnormal findings of uterus and fallopian tubes resulting in infertility were 19. 7% and 52. 45% respectively. Of 264 fallopian tubes, complete patency was seen in 129 tubes （48.86%）, partial obstruction in 67 tubes （25.38%）, complete obstruction in 68 tubes （25.76%）. 24 h later after hysterosalpingography, the X-ray signs were indicated as following： large quantities of completely dispersed contrast medium were seen in pelvic cavity in 21 cases （ 15.91% ）, partially un-dispersed contrast medium in 44 cases （33.33%）, no contrast medium in 20 cases （15.15%）.There existed dispersed contrast medium in pelvic cavity and remanet of contrast medium in fallopian tubes among 22 cases （16.67%）; There were few contrast medium in pelvic cavity and no remanet of contrast medium in fallopian tubes among 17 cases （12.88%） ; There were seen mass-like contrast medium in pelvic cavity rather than dispersed one in 8 cases（6.06%）.Conclusion： Hysterosalpingography not only can make the whole morphologic form of uterine cavity and fallopian tubes clearly , but also can exactly estimate their abnormal changes and patent features. Therefore , it can be concluded that HSG is a preferred and indispensable method for diagnosing female infertility.

关 键 词：子宫输卵管造影术 不孕症 诊断价值 

分 类 号：R711.6[医药卫生—妇产科学] R814.43[医药卫生—临床医学]