输卵管造影及腹腔镜检查在输卵管性不孕中的诊断价值研究  

Study on Diagnostic Value of Hysterosalpingography and Laparoscopy in Tubal Infertility

作　　者：龙玲[1] 李建军[1] 陈智慧[1] 李萍[1] 

机构地区：[1]湖南省长沙市妇幼保健院,湖南长沙410007

出　　处：《实用预防医学》2010年第2期298-300,共3页Practical Preventive Medicine

摘　　要：目的分析子宫输卵管造影及腹腔镜检查对诊断输卵管性不孕的诊断价值及实用性。方法2007年8月-2009年8月在我院住院手术治疗的186例不孕症患者为研究对象,以手术中发现作为诊断的标准,评价子宫输卵管造影(hysterosalpingography,HSG)及腹腔镜检查在术前诊断输卵管性不孕的敏感度和特异度。结果腹腔镜检查对输卵管通畅情况的诊断敏感度及特异度均优于子宫输卵管造影,敏感度分别为95.7%及83.1%,与子宫输卵管造影比较,差异有统计学意义(P<0.05);特异度分别为83.3%及58.3%,与子宫输卵管造影比较,差异有统计学意义(P<0.05)。结论腹腔镜检查对输卵管性不孕的诊断价值优于子宫输卵管造影,是目前较好的检测手段,适合临床使用。Objective To analyze the clinical value and practicality of laparoscopy and hysterosalpingography （HSG） in diagnosis of tubal infertility.Methods Totally 186 inpatients with tubal infertility were examined by laparoscopy and hysterosalpingography before they underwent surgical fallopian tube recanalization in Maternal and Child Health Care Hospital of Changsha from August,2007 to August,2009.The sensitivity and specificity of the two methods were compared with the postoperative diagnosis which was regarded as gold standard.Results The sensitivity of laparoscopy （95.7%） was significantly higher than that of hysterosalpingography （83.1%）,and the difference was statistically significant （P0.05）.The specificity of hydrotubation under laparoscopy （83.3%） was also significantly higher than that of hysterosalpingography （58.3%）,and the difference was statistically significant （P0.05）.Conclusion As compared with hysterosalpingography,laparoscopy is a more accurate procedure in assessing tubal patency,and is suitable in clinical application.

关 键 词：不孕 子宫输卵管造影 腹腔镜检查 

分 类 号：R711.76[医药卫生—妇产科学]