宫腔声学造影术联合宫腔镜在输卵管性不孕症中的应用

Sonohysterogaphy Combined Hysteroscopy in Oviduct Infertility in Clinical Application

目的探讨宫腔声学造影术联合宫腔镜与宫腔镜在诊断输卵管不孕中临床价值。方法134例不孕患者,所有患者术前均在三级甲等医院做过宫腔镜,比较两者诊断的符合率,所获数据采用XX2检验。结果两者均诊断不通102条,通畅108条,通而不畅7条,两者符合率91.9%,不符合率8.1%,,宫腔镜检查假阳性率11.8%。结论宫腔声学造影术联合宫腔镜能更精确判断输卵管的通畅度。

Objective To compare the clinical value of sonohysterogaphy（SHG） accompanied by hysteroscopy and hysterosalpinography（HSG） in the diagnosisi of tubal patency. Methods 132 infertile patients under Went hysteroscopic hydrotubation, properativehysterosal pingography was peformed routinely in hospitals of Grade Three. Their evaluation of the patency of the fallopian tube was compared. Analysis ofthe characteristics of the two methods inthe evaluation of tubal patercy and application valus. Results Sonohyster-ogaphy accompaniedby hysteoscopy and hysterosalpinography both Found 102 tubes blocked, 108 tubes open, 7 tubes open but not clear,Both with an accuracy of 91.9%. Conclusion SHG accompanied by hysteroscopy accurate judgment of tubal patency. Not contact with harmful substances, to observe the uterine cavity and teatment. In terms of judgment tubal blockage, hysterosal- pinography is better than hysteroscopy, sonohysterogaphy can make up for the inadequacy of hysteroscopy.