子宫输卵管碘油造影及腹腔镜检查在输卵管性不孕中的应用  

Clinlical Study of Hysterosalpingography and Laparoscopy in Tubal Obstructive Infertility

作　　者：李涛[1] 

机构地区：[1]四川省成都市第三人民医院,四川成都610031

出　　处：《实用妇产科杂志》2011年第10期749-751,共3页Journal of Practical Obstetrics and Gynecology

摘　　要：目的:通过子宫输卵管碘油造影(HSG)及腹腔镜检查,分析其对输卵管及盆腔粘连病变检查的临床诊断价值。方法:回顾性分析我院2008年1月至2010年12月收治的89例输卵管性不孕患者,行HSG检查及腹腔镜治疗的临床资料。结果:176条输卵管中,HSG与腹腔镜检查结果相符的有140条,符合率79.55%;腹腔镜诊断输卵管通畅的灵敏度为77.89%,特异度为71.70%;HSG诊断通畅的灵敏度为72.22%,特异度为64.41%。结论:HSG检查可作为不孕症患者的初步筛查手段,腹腔镜检查准确性高,在不孕症患者的诊断中有重要的作用。Objective：To evaluate the clinical value of hysterosalpingography（HSG） and laparoscopy in the diagnosis of tubal or pelvic adhesions. Methods：The clinical data in 89 cases of tubal infertility by HSG and laparoscopy were retrospectively analyzed from Jan 2008 to Dec 2010 in our hospital,and they all received both HSG and laparoscopy examination before,the clinical data analyzed retrospectively.Results：Of the 176 fallopian tubes,the coincidence rate of HSG and laparoscopy was 79.55%（140/176） .The sensitivity and the specificity of laparoscopy in the diagnosis of unobstructed tubes was 77.89% and 71.70%,and in the HSG it was 72.22% and 64.41%.Conclusions：HSG can be used as a preliminary screening method in patients with infertility,and laparoscopy with high accuracy in the diagnosis and treatment of infertility patients.

关 键 词：输卵管碘油造影 腹腔镜 不孕症 盆腔粘连 

分 类 号：R711.6[医药卫生—妇产科学]