腹腔镜下子宫输卵管通液检查与子宫输卵管碘水造影在不孕症诊断中的应用分析  

Application analysis of of uterine tubes liquid inspection by laparoscopic and hysterosalpinography for diagnosis of infertility

作　　者：卢剑灵 

机构地区：[1]广西柳州市第四人民医院妇产科,545001

出　　处：《齐齐哈尔医学院学报》2013年第13期1938-1939,共2页Journal of Qiqihar Medical University

摘　　要：目的分析腹腔镜下子宫输卵管通液检查以及子宫输卵管碘水造影在不孕症诊断中的应用。方法选取2009年9月至2011年1月在我院接受治疗的122例不孕症患者为研究对象,给予腹腔镜下子宫输卵管通液检查以及子宫输卵管碘水造影术,比较不同方法的诊断效果。结果本组资料122例不孕症患者中,所有患者经输卵管碘水造影术发现输卵管病变103例(84.43%),经腹腔镜下检查发现输卵管病变93例(占76.23%)。输卵管碘水造影术诊断率高于腹腔镜下检查,比较差异无统计学意义(P>0.05)。输卵管碘水造影术发现7例子宫疾病患者(5.74%),腹腔镜检查发现子宫疾病患者13例(10.66%)和盆腔疾病患者29例(23.78%)。结论对于不孕症的诊断,输卵管造影技术应该作为筛查,腹腔镜检查可作为进一步诊断的手段,二者相互补充,为不孕症病因诊断提供依据。Objective To analyze the application of uterine tubes liquid inspection by laparoscopic and hysterosalpinography for the diagnosis of infertility.Methods From September,2009 to January,2011,122 cases of infertility patients in our hospital were given uterine tubes liquid inspection by laparoscopic and hysterosalpinography,with comparing the diagnosis effect of different methods.Results In 122 cases of infertility patients,103 cases of patients with fallopian tube diseases were found by hysterosalpinography,which was 84.43%,and 93 cases were found by laparoscopic,which was 76.23%.Although the diagnosis rate of hysterosalpinography was higher,but the comparing difference was not statistically significant（P0.05）.7 cases uterine disease patients were found by hysterosalpinography（5.74%）,and 13 cases uterine disease patients（10.66%） and 29 cases pelvic disease patients（23.78%） were found by laparoscopic.Conclusions For diagnosis of infertility,hysterosalpinography should be taken as a screening method,laparoscopic can be used as a means of further diagnosis,three means complement each other,which provides the basis for the diagnosis of infertility.

关 键 词：不孕症 腹腔镜 子宫输卵管碘水造影术 

分 类 号：R713.5[医药卫生—妇产科学]