子宫输卵管碘油造影对宫腔粘连的诊断应用  

Hysterosalpingography diagnosis of intra- uterus adhesion

作　　者：黄成义[1] 周顺[1] 徐文健[1] 

机构地区：[1]江苏南京医科大学附属南京妇幼保健院介入科,江苏南京210004

出　　处：《宁夏医学杂志》2015年第1期53-54,I0001,共3页Ningxia Medical Journal

摘　　要：目的探讨子宫输卵管碘油造影(HSG)在宫腔粘连中的诊断价值。方法回顾性分析5 092例HSG检查的患者,提取其中经HSG诊断为宫腔粘连(IUA)585例患者的完整临床资料及造影影像资料,并比较宫腔镜进一步检查的结果。结果经HSG诊断为IUA的585例患者中,轻度粘连347例(59.32%),中度粘连179例(30.60%),重度粘连59例(10.08%),其中230例患者行宫腔镜进一步检查,213例证实为IUA,符合率为92.61%。结论 HSG可以直观地了解子宫腔是否存在粘连,并确定IUA的部位、范围和程度,其操作简单、方便,患者不适程度小,费用较低,为临床上鉴别IUA常规、可靠的检查方法。Objective To investigate the effect of Hysterosalpingography （HSG） on the diagnostic of intra-uterus adhesion （ IUA） . Methods Data of 5092 patients who underwent HSG examination in our hospital from Feb. 2011 to Jul. 2012 were retrospective？ly analyzed,and 585 patients diagnosed as Intra-uterus adhesion were included in this study. Both their clinical data and radiography data were compared with the hysteroscopy outcomes,which were considered as the gold standard. Results Among the 585 patients diag？nosed as IUA,347 patients were gentle,179 patients were moderate,and 59 patients were severe. 230 of 585 patients accepted hysterosco？py examination,and 213 patients were diagnosed with IUA. The diagnostic accuracy was 92. 61%. Conclusion The location,range and extent of IUA can show directly by HSG,which is simple and convenient. Patients＇discomfort will be reduced to the minimum,and their expense will also be saved. In short,HSG has become a preferred method to diagnose IUA.

关 键 词：子宫 输卵管 碘油造影 宫腔粘连 

分 类 号：R711.74[医药卫生—妇产科学]