子宫输卵管碘油造影与宫腹腔镜联合手术诊断输卵管性不孕症的优势分析

An Analysis of the Advantages of Uterine Oviduct Iodine Oil Contrast with the Uterine and Laparoscopy in the Diagnosis of Oviduct Infertility

目的探讨输卵管性不孕症患者行子宫输卵管碘油造影方案(HSG)及宫腹腔镜联合手术的价值。方法随机选取2012年2月—2015年12月间该院诊断的输卵管性不孕症患者80例,先后实施HSG检查及宫腹腔镜联合手术,将宫腹腔镜检查结果认作该次研究金标准,对2种检查结果进行记录及回顾性分析。结果 (1)HSG检查在诊断输卵管通畅度方面准确性75.00%(120/160),其特异度是72.73%(40/55),敏感性是76.19%(80/105),两组比较,差异有统计学意义(P<0.05)。(2)HSG检查在诊断输卵管周围粘连方面的准确性33.75%(54/160),其特异度是91.80%(28/31),敏感性是8.20%(3/31),两组比较,差异有统计学意义(P<0.05)。结论对于出现输卵管性不孕症患者,实施宫腹腔镜方联合检查措施效果突出,对于诊疗方案的制定均有指导作用,可推广。

Objective This paper tries to explore the value of the operation of uterine oviduct iodine oil contrast（HSG） and uterine laparoscopy combined with oviduct infertility. Methods 80 cases of oviduct infertility patients from Feburary 2012 to December 2015 in this hospital were randomly selected, successively implemented HSG joint surgery, laparoscopic examination and took teh laparoscopy results as the gold standard in the present study, the two examination results were recorded and analyzed retrospectively. Results（1）The accuracy of HSG examination was 75.00%（120/160） in the diagnosis of oviduct ventilation, and its specificity was 72.73%（40/55）, and the sensitivity was 76.19%（80/105）, compared with the two groups（P〈0.05）.（2）The accuracy of HSG was 33.75%（54/160）, and its specificity was 91.80%（28/31）, and the sensitivity was 8.20%（3/31）, compared with the two groups the difference was statistically significant（ P 〈0.05）. Conclusion For patients with oviduct infertility, the combination of laparoscopy and hysteroscopy is effective, which provides reference for the treatment plan and can be promoted.