超声引导下输卵管造影对不孕症妇女输卵管通畅性的临床诊断价值  

Clinical Diagnostic Value of Ultrasound-guided Salpingography in Tubal Patency of Infertile Women

作　　者：黄小兰 HUANG Xiaolan(Zhangzhou Hospital of Traditional Chinese Medicine,Zhangzhou 363000,China)

机构地区：[1]漳州市中医院,福建漳州363000

出　　处：《中国医药指南》2021年第17期39-40,共2页Guide of China Medicine

摘　　要：目的针对不孕症妇女输卵管通畅性的诊断,采取超声引导下输卵管造影检查,分析该种检查方式的临床诊断价值。方法本次的研究对象从在我院接收的不孕症妇女患者中选取,共入选70例患者,均在2019年2月至2021年2月入院。在进行输卵管通畅性的诊断中,均接受了两种检查,分别是超声引导下输卵管造影检查以及X线下子宫输卵管碘油造影检查。对两种检查方式的结果进行比较,并对超声引导下输卵管造影检查的通而不畅以及阻塞的具体部位进行分析。结果两种检查方式的结果中,对输卵管通畅、通而不畅以及输卵管阻塞上的检出率对比,不存在显著差异(P>0.05)。超声引导下输卵管造影检查中,出现通而不畅的患者,其发生部位主要存在于间质部与峡部;出现阻塞的患者,其发生部位主要存在于峡部。结论X线下子宫输卵管碘油造影检查对输卵管通畅性的诊断具有较高的准确性,而超声引导下输卵管造影检查与该检查方式的结果相近,故其对输卵管通畅性的诊断具有较高的临床价值。Objective To analyze the clinical diagnostic value of ultrasound-guided salpingography in the diagnosis of tubal patency in infertile women.Methods The research objects were selected from the infertile women patients in our hospital,and a total of 70 patients were selected,all of them were hospitalized from February 2019 to February 2021.In the diagnosis of tubal patency,both received two kinds of examination,namely ultrasound-guided salpingography and X-ray hysterosalpingography.The results of the two methods were compared,and the specific parts of the patency and obstruction of the ultrasound-guided salpingogram are analyzed.Results there was no significant difference in the detection rate of tubal patency,tubal obstruction and tubal obstruction between the two methods(P>0.05).In the ultrasound-guided salpingogram,patients with poor patency were mainly located in the interstitial and isthmus;patients with obstruction were mainly located in the isthmus.Conclusion X-ray hysterosalpingography has high accuracy in the diagnosis of tubal patency,while ultrasound-guided hysterosalpingography has similar results with this method,so it has high clinical value in the diagnosis of tubal patency.

关 键 词：不孕症 超声引导 输卵管造影 输卵管通畅性 

分 类 号：R711.6[医药卫生—妇产科学]