子宫输卵管造影对输卵管病变的临床应用  

Investigation on the clinical application value of hysterosalpingography for fallopian tube diseases

作　　者：宋玮[1] 杜沁文 沈育红[1] 龙雯晴[1] SONG Wei;DU Qinwen;SHEN Yuhong;LONG Wenqing(Department of Obstetrics and Gynecology,Ruijin Hospital Affiliated to Shanghai Jiaotong University School of Medicine,Shanghai 200025,China)

机构地区：[1]上海交通大学医学院附属瑞金医院妇产科,上海200025

出　　处：《中国医药科学》2021年第13期84-87,共4页China Medicine And Pharmacy

摘　　要：目的探讨子宫输卵管造影(HSG)对输卵管通畅情况的诊断及临床应用价值。方法选择我院妇科2015年1月至2019年1月接受HSG及腹腔镜的不孕患者62例,以腹腔镜检查结果为金标准,评价HSG的诊断价值。结果HSG诊断输卵管阻塞的特异度为80%,灵敏度为58%,准确率为70%,阳性预测值为72%,阴性预测值为68%。间隔时间≤6个月时,HSG诊断输卵管阻塞的总符合率为70.0%,灵敏度为84.4%,特异度为62.1%,阳性预测值为55.1%,阴性预测值为87.8%。结论HSG可作为女性不孕症的首选筛查手段。对于HSG提示输卵管阻塞或部分阻塞的患者,可待6个月后行腹腔镜检查。Objective To investigate the diagnostic accuracy and clinical application value of hysterosalpingography(HSG)on fallopian tube patency.Methods A total of 62 infertile patients who underwent HSG and laparoscopy from January 2015 to January 2019 in the Department of Gynecology of our hospital were selected as the research objects.The diagnostic value of HSG was evaluated by taking laparoscopic findings as the gold standard.Results The specificity,sensitivity and accuracy of HSG in diagnosing fallopian tube obstruction were 80%,58%and 70%,and the positive predictive value and negative predictive value were 72%and 68%,respectively.When the interval time was not more than 6 months,the overall compliance rate,sensitivity and specificity of HSG in diagnosing fallopian tube obstruction were 70.0%,84.4%and 62.1%,and the positive predictive value and negative predictive value were 55.1%and 87.8%,respectively.Conclusion HSG can be the first choice for screening infertility.For patients whose HSG results suggest that the fallopian tube is unobstructed or blocked,laparoscopy can be performed after 6 months of follow-up.

关 键 词：子宫输卵管造影 腹腔镜探查 不孕症 输卵管阻塞 

分 类 号：R445.1[医药卫生—影像医学与核医学] R711.6[医药卫生—诊断学]