宫腔超声造影对因宫腔因素致不孕症诊断的探讨

Approach to Sonohysterography in Infertility Caused by Intrauterine Factors

目的:探讨宫腔超声造影(SHG)对因宫腔因素致不孕症诊断的应用价值。方法:42例不孕症患者经阴道超声检查疑有宫腔病变,随后行SHG检查,结果与宫腔镜检查和病理诊断相对照,评估SHG对宫腔因素致不孕症诊断的价值。结果:通过与宫腔镜检查和病理检查结果相比,经阴道超声检查对疾病的诊断符合率为40.48%,SHG对疾病的诊断符合率为83.33%,二者疾病诊断符合率相比差异具有显著统计学意义(P<0.01)。结论:宫腔超声造影术方便、经济、无创,准确性高,对疑有宫腔因素致不孕的患者可常规进行检查,在不孕症的病人诊治中有一定的临床价值。

Objective：To investigate the value of sonohysterography（SHG） in infertility caused by intrauterine factors.Methods： Forty-two infertile women,who were suspected with uterine lesions after transvaginal ultrasound,were examined by SHG.The results of SHG were compared with those of hysteroscope and pathological diagnose.Then,the value of SHG in the diagnosis of infertility caused by intrauterine factors was evaluated.Results： Compared with the results of hysteroscope and pathological examination,the general diagnostic accuracy of transvaginal ultrasound and SHG were 40.48% and 83.33% respectively.The comparison was with a significant difference（P0.01）.Conclusion： Sonohysterography is a convenient,economic,non-invasive,high accurate diagnostic method.It is of clinical value in routine inspection in patients who were suspected with intrauterine factors.