子宫输卵管造影与子宫腹腔镜检查诊断女性不孕症的对比分析  

Comparative analysis between hysterosalpingography and hystero-laparoscopy for diagnosing the female infertility

作　　者：刘淑亮[1] 傅洪宾[2] 王忠润[1] 吴采华[1] 

机构地区：[1]福建医科大学附属漳州市医院放射科,福建漳州363000 [2]福建省漳州市急救中心

出　　处：《实用医学影像杂志》2011年第1期53-55,共3页Journal of Practical Medical Imaging

摘　　要：目的探讨输卵管通液治疗仪子宫输卵管造影(HSG)对女性不孕症的诊断价值。方法 116例经临床与病理证实的女性不孕症患者均经HSG和子宫-腹腔镜(H-LSC)检查。对获自上述两种技术的资料,进行了对比性分析。结果在116例中,H-LSC发现导致不孕的各种病变111例(95.7%),其中检出率较高的几种病变是盆腔炎性粘连(n=87),输卵管炎性阻塞(n=85),子宫肌瘤(n=14),多数患者有两种或以上病变并存;HSG发现导致不孕的各种病变107例(92.2%),HSG对输卵管炎性阻塞的检出(n=106)高于H-LSC,而对盆腔炎性粘连(n=51)和子宫肌瘤(n=2)的检出低于H-LSC。本组HSG诊断女性不孕症的敏感性、特异性、准确性、阳性预测值以及阴性预测值分别为96.4%,80%,56.9%,93.9%以及69.2%。结论 H-LSC和HSG在诊断女性不孕症中各有所长,总体来说,H-LSC优于HSG,但二者不能相互取代而是应优势互补。HSG联合H-LSC检查是目前诊断女性不孕症的最佳方案。Objective To assess the value of hysterosalpingography（HSG） with tubal patency therapy instrument for diagnosing the femal infertility.Methods A hundred and sixteen patients with clinically and pathologically proved female infertility underwent HSG and hystero-laparoscopy（H-LSC）.All data acquired from above both techniques were analyzed comparatively.Results H-LSC detected the infertile lesions in 111（95.7%） cases,of them,the most common lesions were inflammatory adhesion of the pelvic cavities（n=87）,inflammatory occlusion of the tubal passages（n=85）.and the uterine fibroids（n=14）.The major patients had the coexistence of two or over lesions. HSG detected the infertile lesions in 107（97.2%） cases.HSG in detecting inflammatory occlusion of the tubal passages（n=106） was higher than H-LSC but in detecting inflammatory adhesion of the pelvic cavities（n=51） and the uterine fibroids（n=2） was lower than H-LSC.The diagnostic sensitivity,specificity,accuracy,positive predictive value,and negative predictive value of HSG in the group infertile women were 96.4%,80%,56.9%,93.9%,and 69.2%.respectively.Conclusion H-LSC and HSG have separate advantages for diagnosing the female infertility,generally speaking,H-LSC is superior to HSG.These two methods are not alternative,but complementary each other.HSG combined with H-LSC is now an optimal protocol to diagnose this disease.

关 键 词：不孕症 子宫输卵管造影 子宫-腹腔镜检查 

分 类 号：R711.6[医药卫生—妇产科学]