子宫输卵管造影术在辅助生殖技术助孕中的应用价值探讨  

Discussion on the application value of hysterosalpingography in assisted reproductive technology for fertilization

作　　者：王霖 张玉娜[1] Wang Lin;Zhang Yuna(Department of Imaging,Fengxian People's Hospital,Xuzhou 221700,China)

机构地区：[1]江苏省丰县人民医院影像科,江苏徐州221700

出　　处：《实用妇科内分泌电子杂志》2024年第18期90-92,共3页Electronic Journal of Practical Gynecological Endocrinology

摘　　要：目的探讨X线子宫输卵管造影术(HSG)对输卵管性不孕症的临床诊断敏感度、特异度、符合率等情况。方法选取199例疑似输卵管性不孕症患者,所有患者均接受X线HSG检查,指定同一名具有高年资、高职称的临床影像学检查医师完成相关操作。记录检查结果,以其临床综合诊断结果为依据计算X线HSG检查对诊断输卵管性不孕症的敏感度、特异度、符合率等。结果所有患者均顺利完成X线HSG检查,其中通畅比例最高、阻塞比例最低。X线HSG检查阳性率(78.89%)与临床综合诊断阳性率(77.39%)对比,差异无统计学意义(P>0.05)。X线HSG检查对输卵管性不孕症诊断敏感度为96.75%,特异度为82.22%,符合率为93.47%。结论应用X线HSG检查对辅助诊断输卵管性不孕症具有较高的敏感度、特异度及符合率。Objective To investigate the sensitivity,specificity and conformity rate of X-ray hysterosalpingography(HSG)in clinical diagnosis of tubal infertility.Methods 199 patients with suspected tubal infertility were selected,all of whom underwent X-ray HsG examination,and the same clinical imaging doctor with high experience and professional title was assigned to complete relevant operations.The examination results were recorded,and the sensitivity,specificity and coincidence rate of X-ray HSG in diagnosing tubal infertility were calculated according to the clinical comprehensive diagnosis results.Results All patients successfully completed X-ray HSG examination,with the highest patency ratio and the lowest obstruction ratio.There was no significant difference between the positive rate of X-ray HSG examination(78.89%)and clinical comprehensive diagnosis(77.39%)(P>0.05).The sensitivity and specificity of X-ray HSG for diagnosis of tubal infertility were 96.75%,82.22%and 93.47%.Conclusion The application of X-ray HSG examination has high sensitivity,specificity and coincidence rate in the diagnosis of tubal infertility.

关 键 词：不孕症 辅助生殖技术 子宫输卵管造影术 临床诊断 

分 类 号：R714.8[医药卫生—妇产科学]