子宫输卵管造影在输卵管阻塞性不孕诊断中的应用

Research of Hysterosalpingography in the Diagnosis of Tubal Obstruction Infertility

【目的】探讨子宫输卵管造影（hysterosalpinography，HSG）检查在输卵管阻塞性不孕诊断中的应用价值。【方法】选择输卵管阻塞性不孕症患者98例，对比分析HSG、腹腔镜检查结果。【结果】HSG诊断为畅通149支，梗阻44支；腹腔镜诊断为畅通121支，梗阻72支，HSG诊断灵敏度为97．5％（118／121），特异度为56．9％（41／72），阳性预测值为79．2％（118／149），阴性预测值为93．2％（41／44）。所有患者中仪3例患者出现恶心，无需特殊处理。【结论】HSG检查输卵管阻塞性不孕患者，操作简单，创伤性小，灵敏度高，值得在临床中推广。

[ObjectivelTo explore the effect of hysterosalpingography in the diagnosis of tubal obstruction infertility diagnosis.[Methods]98 cases of infertility caused by fallopian tube obstruction were selected, and the results of HSG and laparoscopy were compared with.[Results]Through HSG diagnosis, 149 fallopian tubes were found to be smooth, 44 of which were obstructed. The diagnostic sensitivity was 97.5% （118/121）, the specificity was 56.90% （41/72）, the positive predictive value was 79.2% （118/149）, and the negative predic- tive value was 93.2% （41/44）. Of all patients, only 3 of them had nausea without special treatment.[Conclu- sion]HSG examination on tubal obstruction infertility patients is simple to operate with little trauma, but high sensitivity. It is worth of clinical promotion.