子宫输卵管造影诊断输卵管因素不孕的价值分析  

The value of hysterosalpingography in the diagnosis of tubal pathology among infertile patients

作　　者：王巍[1] 陈蓉[1] 田秦杰[1] 孙爱军[1] 

机构地区：[1]中国医学科学院 北京协和医院妇产科,北京100730

出　　处：《生殖医学杂志》2013年第4期297-300,共4页Journal of Reproductive Medicine

摘　　要：目的探讨子宫输卵管造影(HSG)在输卵管因素不孕患者中的诊断价值。方法回顾性分析24位医生对64例不孕患者术前HSG图像的判读与宫腹腔镜手术所见资料。结果共124条输卵管纳入分析,HSG诊断与宫腹腔镜检查结果的总符合率为70.8%,其诊断输卵管通畅性的总敏感度为65.5%,特异度为76.2%。HSG诊断输卵管通畅、积水及阻塞的符合率有统计学差异(P<0.05),原发或继发不孕、有无手术史、输卵管周围有无粘连对HSG诊断符合率均有显著影响(P<0.05)。结论 HSG是输卵管性不孕有价值的筛查手段,尤其适合原发不孕、无手术史及输卵管周围无粘连者。Objective. To investigate the value of hysterosalpingography （HSG） in the diagnosis of female infertility with tubal pathology. Methods. The data of the preoperative HSG images interpretated by 24 findings of laparoscopy combined with hysteroscopy in 64 infertile female retrospectively. doctors and the patients were surgical analyzed Results. A total of 124 fallopian tubes were included in the analysis. The overall diagnostic accuracy of HSG compared with surgical findings was 70. 8%. For the diagnosis of tubal pathology, the total sensitivity of HSG was 65.5% and specificity was 76.2%. There were statistically significant differences in diagnostic accuracy for diagnosis of tubal patency, hydrosalpinx and tubal occlusion by HSG （P 〈0.05） . There were also statistically significant differences in diagnostic accuracy for primary or secondary infertility, with or without surgery history and peritubal adhesions （P〈0.05） . Conclusions. HSG has good diagnostic value on female infertility with tubal pathology, especially for patients with primary infertility, no surgery history and no peritubal adhesions.

关 键 词：子宫输卵管造影 腹腔镜手术 不孕症 诊断 

分 类 号：R[医药卫生]