探讨腹腔镜与子宫输卵管造影诊断女性不孕的临床价值

Clinical significance of laparoscopy and hysterosalpingography in diagnosing female infertilitas feminis

目的:探讨腹腔镜(laparoscopy,LAP)与子宫输卵管造影(hysterosalpingography,HSG)诊断女性不孕症的临床价值。方法:回顾性分析114例女性不孕症患者的LAP及HSG检查结果。结果:在诊断输卵管通畅度中,两种方法符合率为89.81%;HSG对于输卵管通畅性检查的灵敏度为94.28%,特异度为87.67%,阳性预测值为78.57%,阴性预测值为96.96%,误诊率为12.33%,漏诊率为5.72%;HSG诊断宫腔粘连4例,未明确有盆腔组织疾病的有78例。结论:HSG检查在判定子宫腔、输卵管管腔情况及输卵管梗阻部位优于LAP检查,LAP检查发现盆腔粘连及影响生育的其他盆腔疾病优于HSG。HSG检查是不孕症病因诊断的有效方法之一,而LAP联合HSG术可以增加诊断的准确性。

Objective：To investigate the clinical significance of laparoscopy（LAP）and hysterosalpingography（HSG）in diagnos-ing female infertilitas feminis.Methods：114 infertile patients who underwent HSG combined with LAP in our hospital were retrospec-tive analyzed.Results：The coincidence of the two group in the abnormal diagnosis of uterine tube was 89.81%.8 patients had cavitas pelvis conglutination who diagnosed by HSG.For examines the patency of fallopian tube the sensitivity of HSG was94.28%;specificity was 87.67%;positive predictive value was 78.57%;negative predictive value was 96.96%;mistake diagnostic rate was12.33% and omis-sion diagnostic rate was 5.72%.4 patients was diagnosed uterus cavity conglutination and 78 patients had cavitas pelvis disease did not diagnosed by LAP.Conclusion：HSG had greater advantages than LAP on finding uterus cavity and uterine tube abnormality.LAP had greater advantages than HSG on finding cavitas pelvis conglutinatio and other cavitas pelvis disease which impact procreate.HSG is the modus operandi to diagnose infertility;LAP combined with HSG substantially dose favor to increase diagnosis.