子宫输卵管造影与腹腔镜检查在诊断输卵管性不孕中的价值比较

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1、子宫输卵管造影与腹腔镜检查在诊断输卵管性不孕中的价值比较子宫输卵管造影与腹腔镜检查在诊断输卵管性不孕中的价值比较【摘要】目的对比分析子宫输卵管造影与腹腔镜检查在诊断输卵管性不孕中的价值。方法2009年6月至2011年6月期间在我院就诊的191例不孕症患者行子宫输卵管造影(HSG)检查，所有患者HSG后行腹腔镜诊治。结果191例患者共374条输卵管中，经HSG显示输卵管通畅90条，通而不畅76条，近端阻塞74条，远端阻塞134条；经腹腔镜检查显示输卵管通畅104条，通而不畅64条，近端阻塞50条，远端阻塞156条。HSG与腹腔

2、镜检查输卵管异常对比，差异有显箸性。HSG与腹腔镜检查的符合率比较，完全符合率60.4%,其中符合率最咼是远端阻塞占83.6%,通而不畅的符合率最低，仅占26.3%,近端阻塞的符合率45.9%,通畅的符合率66.7%o-K中HSG显示通畅90条中，经腹腔镜检查证实其伞端周围与盆腔组织有不同程度粘连或输卵管外形扭曲64条。结论腹腔镜诊断输卵管不孕具有直观、准确性，同时发现盆腔其它病变情况，并同期得到相应治疗。腹腔镜比子宫输卵管造影有明显优势。【关键词】子宫输卵管造影腹腔镜输卵管性不孕中图分类号:R711.6文献标识码:A文章编

3、号:1005-0515(2011)12-001-02[Abstract]ObjectiveTocomparateandanalysisvalueofhysterosalpingography(HSG)andlaparoscopicexaminationinthediagnosisoftubalinfertility・MethodHSGwasperformedin191infertilewomentreatedinourhospitalfromJune2009-June2011,laparoscopicexaminationw

4、ascarriedoutinallpatientsafterHSG・ResultstheHSG'sresultofallthe374fallopiantubesinthe191casesshow:Inthetotalof374casesoffallopiantubeswith191patients,theHSGshows:patency90,passable76,Nearlydistalobstruction74,Distalobstruction134;thelaparoscopicexaminationshows:pat

5、ency104,passable64,nearlydistalobstruction50,distalobstruction156.ComparedtheHSGresultsoftubalabnormalitieswithlaparoscopic,thediffereneewassignificant・ThecoincidenceofHSGwithlaparoscopiccomparison:Fullcomplianeerate60.4%,thehighestamongthemis83.6%ofthedistalobstru

6、ction,thelowestis26.3%ofthepassable,thecompliancerateofnearlydistalobstructionis45.9%,thecompliancerateofdistalobstructionis66.7%.Amongthearticle90fallopiantubewhichHSGshowspatency,article64wereconfirmedbylaparoscopy,aroundtheendofitsumbrellaorganizationwithvarying

7、degreesofpelvicadhesionsortubalshapedistortion.ConclusionThediagnosisoftubalinfertilitybylaparoscopehastheadvantagesofaccuracy,wecanfoundthatotherlesionsinthepelvicandgetthecorrespondingtreatmentatsameperiod・Laparoscopichastheobviousadvantagesthanhysterosalpingogra

8、phy,[Keywords]IlysterosalpingographyLaparoscopeTubalinfertility不孕症是妇科的常见疾病，在我国其发生率为7-10%[l]o输卵管性不孕的发生率占不孕症中的30-40%[2]o子宫输卵管造影(IISG)是最常用的不孕症检查方法之一