子宫输卵管造影诊断子宫发育异常  

Diagnosis of cogenital uterine anomalies with hysterosalpingography

作　　者：冯长征[1,2] 邢福祺[1] 郭庆禄[1,2] 韩立薇[1,3] 

机构地区：[1]南方医科大学南方医院生殖医学中心,广东广州510515 [2]广东省妇幼保健院放射科 [3]广东省妇幼保健院妇科

出　　处：《中国妇幼保健》2011年第15期2373-2374,共2页Maternal and Child Health Care of China

基　　金：广东省中医药局科研基金项目〔WSTJJ2008380〕

摘　　要：目的:研究子宫输卵管造影(Hysterosalpingography,HSG)诊断子宫发育异常的临床价值。方法:回顾性对比分析2008年1月～2010年6月在南方医院和广东省妇幼保健院两院HSG诊断144例子宫发育异常者经开腹手术及宫腔镜和腹腔镜联合诊断和治疗的结果。结果:HSG发现双子宫19例,双角子宫17例,鞍状子宫2例,中隔子宫86例,单角子宫20例,共计子宫发育异常144例。HSG诊断的准确率为83.33%(120/144),误诊率为16.67%(24/144),其中对中隔子宫、双角子宫、双子宫和单角子宫误诊率较高。结论:HSG可以作为诊断子宫发育异常的首选方法,但对发育异常的诊断最好结合其他检查手段以提高诊断的准确性。Objective： To study the clinical value of hysterosalpingography in the diagnosis of cogenital uterine anomalie. Methods ： HSG appearances of patients with cogenital uterine anomalies confirmed by laparoscope hysteroscopy combined or operation were analyzed retrospectively. Results ： HSG appearances of total 144 cases with uterine anomalie including uterus didelphys 19 cases, bicornuate uterus 17 cases and bieorbate uterus 2 cases, septate uterus 86 cases, unicornuate uterus 20 cases. The accuracy rate of HSG in 144 patients with cogenital uterine anomalie was 83.33% （ 120/144 ） , misdiaguosis rate was 16. 67% （24/144） , particularly of septate u- terus, bicornuate uterus, uterus didelphys, unicornuate uterus. Conclusion： HSG should still be the first line of diagnosing cogenital uterine anomalies; While cogenital uterine anomalies were found , it should be combined with other modality to avoid misdiagnosis.

关 键 词：子宫输卵管造影 子宫发育异常 诊断方法 

分 类 号：R711.76[医药卫生—妇产科学] R445.4[医药卫生—临床医学]