腹腔镜和输卵管碘油造影在不孕症中的诊断价值

DIAGNOSTIC EVALUATION OF LAPAROSCOPY AND HYSTEROSALPINGOGRAPHY IN TUBAL INFERTILITY

目的 :探讨在诊断输卵管性不孕的检查中腹腔镜检查能否替代子宫输卵管碘油造影术 (HSG)。方法 :采用自身对照法进行 138例患者共 2 75条输卵管HSG和腹腔镜检查。结果 :HSG与腹腔镜检查结果相符的为14 4条输卵管 ,符合率 5 2 .36 % ;输卵管伞端阻塞和间质部阻塞二种检查结果相近 ,两相比较正确性无差别 (P>0 .0 5 ) ;对于输卵管通畅者 ,腹腔镜的诊断正确性高于HSG(P <0 .0 5 )。结论 :腹腔镜检查在输卵管性不孕中有重要的作用 ,但它仍不能替代HSG。对于HSG诊断为输卵管通畅的患者 ,如 3～ 6月后仍不能受孕 ,最好再行腹腔镜检查。

Objective:To investigate whether laparoscopy can be instead of hysterosalpingography (HSG) in diagnosis of tubal infertility.Method:In one hundred and thirty-eight patients suffering from tubal infertility, 275 fallopian tubes were examined by HSG and laparoscopy.Results:Of the 275 fallopian tubes, there was a correlation in HSG and laparoscopy in 144 tubes (52.36%). In these two examinations, the results of obstructive fallopian tube had no much difference ( P >0.05). While the date in patient fallopian tubal group were 37 in HSG and 83 in laparoscopy ( P <0.05). In patient tubal examination, the laparoscopy was better than HSG.Conclusions: Nowadays laparoscopy can't be instead of HSG because of its expensive equipment and needing expert doctors to perform it. It is suggested that patient suffering from tubal infertility didn't get pregnancy 3~6 months after HSG examination, might perform laparocopy for a further investigation.