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输卵管性不孕的X线诊断与腹腔镜对照(附34例分析) 被引量:4

Comparison of hysterosaplpingography with laparoscopy in tubal infertility
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摘要 目的:通过子宫输卵管造影和腹腔镜检查的对照,提高对输卵管性不孕的X线诊断。方法:输卵管不孕症患者进行了输卵管造影和腹腔镜检查,将其结果进行比较。结果:子宫输卵管造影:输卵管各部阻塞15支,通而不畅21支,输卵管未通15支,输卵管积水9支,输卵管通畅7支。腹腔镜检查:粘连严重无法暴露6支。输卵管积水10支。美兰通液通畅9支,美兰通液、伞部少量溢出22支,美兰通液未示通畅20支。结论:虽然腹腔镜检查诊断输卵管通畅度优于子宫输卵管造影,但子宫输卵管造影检查仍为目前检查输卵管性不孕的首选和基本方法。 Objectives: To improve the aecimy of X - ray diagnosis of tubal infertility by comparing the hysterosalpic with laparoscopic findings. Methods: Hysteroedpingography and lmpscopy were perfrmed in 34 cases of tubal infertility. ho: Hyterosalpingographic findings were: obetruchve changes in some arase in l5 tubes, Partial obstruhon in 21 thes, hydidsalpinx in 9 thes, complete patency in 7 tubes. foropic findiop: severe adhsin in 6 tubes, hydrisalpinx in 1O dss, patency 0f tde with methyen blue test in 9 cases, ndninal spilling of methylen blue at fimbria end in 22 tubes, inPaency of tube in 20 tubes. Conclusions: Althowt the laparoscopic findingr are mere reliabe than the hysteresalpingographic fiopmp, hystndpingography is still the methed of choice and basic approach in diagnsing tubal infedility at present
作者 张建英
出处 《放射学实践》 1999年第3期174-175,共2页 Radiologic Practice
关键词 不育症 输卵管阻塞 X线诊断 腹腔镜 Fallopian tube hysterosalpingography laparoscopy
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