THL检查对子宫输卵管碘油造影通畅的不孕症的应用价值

Application value of THL examination for the infertile women with unobstructed hysterosalpingography

目的:观察宫腔镜联合经阴道注水腹腔镜检查(THL)对子宫输卵管碘油造影(HSG)通畅的不孕症患者的临床应用价值。方法:60例HSG诊断为输卵管通畅、B超检查未见异常的不孕患者,再次行THL检查。结果:60例HSG提示输卵管通畅的不孕症患者经THL检查,共诊断输卵管阻塞3例(5%),盆腔粘连45例(75%),8例盆腔子宫内膜异位症(13%),2例卵巢囊肿(3%)。结论:腔镜检查不孕女性输卵管及盆腔因素的准确率高于HSG检查,尤其对盆腔粘连的诊断率高。

Objective：To observe the clinical application value of hysteroscopy combined with transvaginal hydrolaparoscopy（THL） for the infertile women with unobstructed hysterosalpingography（HSG）.Methods：60 infertile patients who were diagnosed with unobstructed fallopian tubes by HSG and without abnormal findings under ultrasound received THL.Results：Among 60 infertile patients,3 patients（5%） were found with obstructed fallopian tubes,45 patients（75%） were found with pelvic adhesion,8 patients（13%） were found with endometriosis,and 2 patients（3%） were found with ovarian cysts.Conclusion：The accurate rate of hysteroscopy combined with THL is higher than that of HSG for examining female tubal factor and pelvic factor,especially for pelvic adhesion.