子宫输卵管碘油造影与宫腹腔镜联合诊治不孕症100例分析

Comparison of diagnostic accuracy of hysterosalpingography and combination of hysteroscopy and laparoscopy in evaluation of female infertility

目的:比较子宫输卵管碘油造影术(HSG)、宫腔镜联合腹腔镜检查在不孕症患者诊治中的临床价值。方法:选择接受HSG、宫腔镜联合腹腔镜检查的100例患者,对比分析检查结果。结果:宫腔镜诊断宫腔内病变阳性率为56.0%,HSG为24.0%;HSG诊断输卵管病变敏感度为75.4%,特异度为85.7%。HSG对于输卵管形态异常、伞端粘连、积水等病变与腹腔镜下的检查结果有80%以上的符合率;HSG诊断宫腔内病变敏感度为42.9%。结论:宫腔镜联合腹腔镜检查对女性不孕症病变的诊断价值高于HSG,且能同时手术治疗,但不能取代HSG;HSG操作简单,费用低,可作为女性不孕症患者的基础检查。

Objective：To compared the diagnostic accuracy and therapeutic value of hysterosalpingography（HSG）and combination of laparoscopy and hysteroscopy in female infertility evaluation.Methods：One hundred infertility women underwent these procedures as part of their infertility evaluation.Results：The positive detection rate of combination of laparoscopy and hysteroscopy in diagnosis of intrauterine lesions was 56.0%,while that of HSG was 24.0%.The sensitivity of HSG in diagnosis of fallopian tube disorders 75.4%,and the specificity was 85.7%.The accordant diagnostic rate of HSG and combination of laparoscopy and hysteroscopy was more than 70% in diagnosis of abnormally shaped fallopian tube,adhesion of fallopian tube fimbriae and hydrosalpinx.The sensitivity of HSG in diagnosis of intrauterine lesions was 42.9%.Conclusion：Combination of laparoscopy and hysteroscopy is more valuable than HSG in diagnosis of female infertility.It can treat disorders simultaneously,while can＇t replace HSG.HSG could be used as an elementary examination for its simple operation procedures and low cost.