不孕症患者子宫输卵管造影1320例分析  

Retrospective analysis of hysterosalpingography in 1 320 infertile cases

作　　者：范佳颖 叶明 

机构地区：[1]广州市妇女儿童医疗中心妇产科,广东省广州510623

出　　处：《中国基层医药》2011年第15期2058-2059,共2页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的探讨子宫输卵管造影对不孕症诊断的价值。方法收集1320例不孕症患者子宫输卵管造影结果及临床相关资料进行回顾性分析。结果子宫异常126例（9．55％）；输卵管双侧通畅616例（46．67％），双侧阻塞357例（27．05％），单侧阻塞347（26．29％）；输卵管间质部阻塞316（23．94％），峡部阻塞214例（16．21％），壶腹部阻塞81例（6．13％），伞端完全阻塞305例（23．09％），伞端不完全阻塞404例（30．63％）。继发性不孕者输卵管阻塞发生率明显高于原发性不孕者（P〈0．01）；继发性不孕患者中，流产次数≥3次者双侧输卵管阻塞的发生率明显高于流产次数〈3次者（P〈0．01）。造影后3个月内妊娠率为27．65％。结论在不孕症检查中子宫输卵管造影是经济有效、不可缺少的检查方法。Objective To investigate the value of hysterosalpingography in the diagnosis of infertility. Methods Hystemsalpingographic and clinical materials of 1 320 cases with infertility were collected and analyzed retrospectively. Results Among 1 320 cases,the percentage of abnormal uterus was 9.55%. Bilateral patency of fal- lopian tubes cases were accounted for 46.67%, and bilateral obstruction and unilateral obstruction were accounted for 27. 05%and 26.29% respectively. The obstruction position of the interstitial portion, the isthmus, the ampulla, the complete fimbrial and the part fimbfial were 23.94%, 16.21% ,6.13% ,23.09% ,30.63% respectively. The accidence of tubal obstruction in the secondary infertility group was significantly higher than that in the primary group （P 〈 0.01 ）, and in the secondary infertility group, the bilatral tubal obstruction frequencies for ＂abortion times ≥3＂ were significantly higher than those for ＂abortion times 〈 3＂ （ P 〈 0. 01 ）. The pregnancy rate was 27.65% in three months after hysterosalpingography. Conclusion Hysterosalpingography was a cost-effective and indispensable methoct for diagnosing female infertility.

关 键 词：不育 女性 子宫输卵管造影术 诊断 

分 类 号：R711[医药卫生—妇产科学]