子宫输卵管造影及腹腔镜检查在诊断输卵管性不孕症中应用.docVIP

子宫输卵管造影及腹腔镜检查在诊断输卵管性不孕症中应用 　　【摘要】 目的：分析子宫输卵管造影（HSG）及腹腔镜检查在输卵管性不孕症的诊断价值。方法：收集2013年1月-2015年3月在笔者所在医院妇科首诊的怀疑输卵管性不孕患者，共135例，均进行子宫输卵管造影和腹腔镜检查。结果：以腹腔镜探查术为金标准，HSG发现输卵管梗阻有193条，灵敏度为91.45%，在输卵管是否梗阻、输卵管梗阻部位方面，HSG与腹腔镜探查术两者比较，差异无统计学意义（P0.05）。在诊断盆腔疾病方面，HSG与腹腔镜探查术两者比较，差异有统计学意义（字2=-2.65，P=0.010.05）；同时在腹腔镜探查术中，135例怀疑输卵管不孕症患者，输卵管梗阻主要原因依次有盆腔结核、输卵管盆腔炎症及粘连、子宫内膜异位症，梗阻率分别为59.24%、34.12%、6.16%。结论：HSG和腹腔镜探查术对于诊断输卵管性不孕症，各具优势。因此进行HSG联合腹腔镜探查术，可以提高诊断的准确性，给予患者最及时有效的治疗。 　　【关键词】 输卵管性不孕症； 子宫输卵管造影； 腹腔镜探查术 　　中图分类号 R711.6 文献标识码 B 文章编号 1674-6805（2015）33-0055-02 　　The Application of Hysterosalpingography and Laparoscopy in Diagnosis of Tubal Infertility/SHENG Wen-jun.//Chinese and Foreign Medical Research，2015，13（33）：55-56 　　【Abstract】 Objective：To analyze the diagnostic value of hysterosalpingography and laparoscopy in patients with tubal infertility.Method：From January 2013 to March 2015，135 patients were suspected of tubal infertility in our hospital，and all of the patients underwent hysterosalpingoraphy and laparoscopy.Result：With laparoscopy as the gold standard，HSG found obstruction of fallopian tube with 193，the sensitivity was 91.45%，in the fallopian tube obstruction and fallopian tube obstruction，HSG and laparoscopy had no statistically significant（P0.05）.In the diagnosis of pelvic diseases，HSG and laparoscopy had statistical significance（ 字2=-2.65，P0.05）；also in laparoscopy，in 135 cases of suspected tubal infertility，the main reason of tubal obstruction followed by pelvic tuberculosis，pelvic inflammation and adhesions，endometriosis，fallopian tube obstruction rates were 59.24%，34.12%，6.16%.Conclusion：For diagnosis of tubal infertility，HSG and laparoscopic exploration have their own advantages.So HSG combined laparoscopic exploration can improve the accuracy of diagnosis，and give the most timely and effective treatment for patients. 　　【Key words】 Tubal infertility； Hysterosalpingoraphy； Laparoscopic exploration 　　First-author’s address：Wuhan Steel Corporation General Hospital，Wuhan 430080