腹腔镜和输卵管碘油造影在输卵管性不孕中的临床评价

Clinical Analysis of Laparoscopy and Hysterosalpingography in Tubal Obstructive Infertility

目的比较不孕症患者中腹腔镜和子宫输卵管碘油造影两种检查方法的结果。方法选择我院140例患者共270条输卵管行HSG和腹腔镜检查。结果HSG与腹腔镜检查结果相符的为145条输卵管，符合率53，70％；输卵管伞端阻塞和间质部阻塞两种检查结果相近，两组比较正确性无显著差异（P〉0.05）；对于输卵管通畅者，腹腔镜的诊断正确性高于HSG（P〈0．01）。结论腹腔镜能直视盆腔内病变，在输卵管性不孕中有重要的作用，HSG可了解宫腔及输卵管内腔情况，两者不能相互代替，但对于HSG示输卵管通畅者，3～6个月未孕者应及时行腹腔镜检查。

Objective Purpose to compote with the result of examination by laparoscopy （IS） and Hysterosalpingography（HSG） in patient with infertility.Methods In one hundred and forty patients suffering from tubal infertility, 270 fallopian tubes were examined by HSG and laparoseopy.Results Of the 270 fallopian tubes,there was a correlation in HSG and laparoseopy in 145 tubes （53.70%）.In these two examinations, the results of obstructive fallopian tube had no much difference（ P 〉 0.05）. While the date in patient fallopian tubal group were 35 in HSG and 72 in laparoseopy （ P 〈 0.01）. In patient tubal examination, the laparoseopy was betterthan HSG. Conclusion Laparoseopy can get more exaedy information about the pelvic disease them HSG. Laparoseopy can＇t be instead of HSG.It is suggested that patient suffering from tubal infertility didn＇t get pregnancy 3 -6 months after HSG examination,might perform laparoseopy for a further investigation.