子宫输卵管造影及腹腔镜检查在输卵管性不孕的诊断价值研究

The diagnostic value of hystero-salpingography and laparoscopic in oviduct infertility

目的:探讨子宫输卵管造影(HSG)与腹腔镜检查在诊断输卵管性不孕症中的临床价值。方法:回顾性分析不孕症患者100例,先后接受HSG和腹腔镜检查,分析比较其检查结果。结果:HSG宫腔异常检测率为11.0%(11/100),腹腔镜检出率35.0%(35/100),两者比较差异有高度统计学意义(P<0.01)。HSG通畅符合率为60.0%,诊断特异性为38.5%(5/13),灵敏度为65.0%(52/80);腹腔镜检查通畅符合率为80.0%,诊断特异性为16.1%(5/31),灵敏度为86.7%(52/60),两者比较差异均有统计学意义(P<0.05)。HSG盆腔病变检出率为24.0%,腹腔镜检出率81.0%,两者比较差异有高度统计学意义(P<0.01)。结论:腹腔镜检查可直视下直接寻找导致不孕的原因,准确性高,有利于宫腹腔内病变的治疗,术后妊娠率高,是目前不孕症诊治的最佳方法之一,值得临床上推广。

Objective To study the clinical value of hystero-salpingography （HSG） nd laparoscopic in oviduct infertility. Methods 100 cases with oviduct infertility were retrospectively analyzed. They were given HSG and laparoscopic,and the test results were compared and analyzed. ResultB Uterine anomaly detection rate of HSG was 11.0% （11/100） , and that of laparoscopic detection was 35,0% （35/100）, the differences had highly statistically significant （P 〈 0.01）. Unobstructed coincidence rate of HSG was 60.0%, specificity diagnosis was 38.5% （5/13）, sensitivity was 65.0% （52/80）, and that of Laparoscopic was 80.0%, specificity diagnosis was 16.1% （5/31）, sensitivity was 86.7% （52/60）, the differences were statistically significant （P 〈 0.05）. The pelvic lesions detection rate of HSG was 24.0%, and that of laparoscopic was 81.0%, the differences had highly statistically significant （P 〈 0.01）. Conclusions laparoscopic test can find the reason for infertility directly with high accuracy, which is beneficial to the treatment of palace intra-abdominal disease .The he pregnancy rate is high and is now one of the best ways for infertility treatment, clinical worth promoting.