输卵管造影检查在诊断妇科不孕症中的临床应用价值

Clinical diagnostic value of salpingography in gynaecologic infertility

目的探讨输卵管造影检查在女性不孕症中的诊断价值。方法对97例女性不孕症患者分别行输卵管造影及输卵管通液检查,分析两种检查方法对病变的检出率及输卵管堵塞检查准确性,对患者的疼痛程度及HR、SBP、DBP进行比较。结果输卵管造影检查中,原发性不孕患者宫腔形态不规则显著高于继发性不孕患者(P<0.05)。输卵管堵塞检出率通液检查为45.36%,造影检查为67.01%;通液检查疾病检出率为45.36%,造影检查为91.75%,两者比较差异有统计学意义(P均<0.05);检查中输卵管造影的VAS评分、HR、SBP、DBP均低于通液检查(P均<0.05)。结论输卵管造影检查病变检出率高及输卵管堵塞检查准确性高,在临床工作中不孕症应首选造影检查,输卵管通液检查可作为不孕症初筛方法。

Objective To explore clinical diagnostic value of salpingography in gynaecologic infertility. Methods A total of 97 femele infertility were performed respectively Hydrotubation and salpingography. The rate of lesion detection and accuracy of tubal occlusion of two check methods were analyzed,and the pain degree and HR,SBP, DBP before and during the detection of two methods were compared. Results The rate of salpingography showed anomalistic uterine cavity forms in the patients with primary infertility was higher than that in the patients with secondary infertility. The accuracy of tubal occlusion through Hydrotubation was 45.36%, the salpingography was 67.01%; the rate of lesion detection through Hydrotubation was 45.36%, the salpingography was 91.75%. There was significant differences between two check methods （P 〈 0.05）. The VAS score,HR,SBP and DBP of Salpingography was lower than that of Hydrotubation（P 〈 0.05）. Condusion The rate of lesion detection and accuracy of tubal occlusion through salpingography is high.h should be first selection of infertility in the clinical work,and Hydrotubation can be screening program of infertility.