子宫输卵管碘油造影术在评价输卵管状况中的诊断价值

The Value of HSG for Tubal Evaluation in Infertility

目的:评价子宫输卵管碘油造影(HSG)在检查不孕患者输卵管状况中的应用价值。方法:65例HSG检查异常的不孕患者,行腹腔镜检查术+输卵管美兰通液术,比较HSG结果与腹腔镜下检查结果。结果:HSG诊断输卵管积水的敏感度和特异度分别为92.00%和98.10%,诊断输卵管近段阻塞的敏感度和特异度分别为40.00%和93.91%,诊断输卵管伞部粘连的敏感度和特异度分别为62.16%和80.36%,诊断输卵管周围粘连(盆腔粘连)的敏感度和特异度分别为73.68%和31.430%。结论:HSG对输卵管积水有较高的诊断价值,对伞端粘连有中等意义的价值,对输卵管近端梗阻、输卵管周围粘连(盆腔粘连)的阳性预测价值较小。

Objective： To determine the value of HSG for tubal evaluation in infertility. Methods： 65 infertility patients, whose HSG result was abnormal, were undergone surgery of laparoscopy and dye test. The results of the HSG and the surgery of the laparoscopy and dye test were compared. Results ： The sensitivity and specificity of HSG in diagnosis of hydrosalpinx, proximal tubal occlusion, distal tubal occlusion and peritubal adhensions were 92.00% and 98.10%, 40.00% and 93.91%, 62. 16% and 80.36% and 73.68% and 31.43%, respectively. Conclusion： An abnormal HSG shows higher accuracy in predicting hydrosalpinges and moderate accuracy in predicting distal tubal blockage. Abnormal HSG test findings have poor accu- racy in predicting promximal tubal obstructrion and peritubal adhesions.