直接法输卵管显像分析输卵管阻塞和功能

Research the obstructive degree and function of fallopian tubes by direct radionuclide hysterosalpingography

目的 :观察不孕患者输卵管阻塞情况 ,分析原发性和继发性不孕症患者输卵管阻塞程度差异。方法 :对124例不孕症女性患者进行直接法子宫输卵管核素造影(DRNHSG)或碘油造影(HSG)。结果 :DRNHSG的阳性率85 1% ,与HSG(阳性率为78 0 %)比较无显著差异 ,P>0 05。原发性和继发性不孕症患者双侧输卵管阻塞的发生率明显高于单侧阻塞 ,P<0 05。原发性不孕症患者输卵管完全阻塞的发生率为57 1 % ,明显高于不完全阻塞 ,P<0 01。原发性不孕的输卵管完全阻塞数明显高于继发性不孕症 ,P<0 01。结论 :DRNHSG和HSG是检测输卵管阻塞的可靠方法 ,DRNHSG可判断输卵管功能 ,HSG可观察输卵管病变。原发性不孕症患者的输卵管以完全阻塞多见 ,而继发性不孕症患者以输卵管不完全阻塞或功能降低为主。

Objective:To study the obstructive degree of fallopian tubes primary and secondary infertility patients.Methods:the 124 cases of infertility patients were imaged with direct radionuclide hysterosalpingography(DRNHSG)by SPECT,or with hysterosalpingography(HSG)by X-ray equipment.Results:in 148 number tubal of 74 cases infertility patients with DRNHSG,there are 71 entire obstructive tubes and 30 incomplete,its rate of positive is 85.1%.There are 67 entire obstructive tubes in 100 number tubal of 50 cases infertility patients with HSG,its rate of positive is 78.0%,is no different with that with DRNHSG,P>0.05.Between the primary and secondary infertility patients the rates of bilateral tubal obstruction are all higher than that of single,P<0.05.The number of absolute occulative tubes of primary infertility patients is more than that of incomplete,P<0.01,and the number of absolute occulative tubes in primary infertility is higher than that in secondary,P<0.05.Conclusions:DRNHSG and HSG are all the dependable method of examining the obstructive degree of fallopian tubes,DRNHSG can evaluate the tubal function,and HSG can observe the tubal pathological changes.primary infertility patients have many entire obstructive tubes,and there is mainly unblocked tubes in secondary infertility patients,whose fallopian tubes maybe have functional disorders.