子宫输卵管造影联合宫腹腔镜检查诊断女性不孕症

目的 :对子宫输卵管造影 (HSG)及宫 腹腔镜检查结果进行对照分析 ,评价子宫输卵管造影联合宫 腹腔镜诊断妇女不孕症的价值。方法 :选择 133例临床诊断不孕症的患者 ,先后行HSG和宫 腹腔镜联合检查 ,对其结果进行回顾性分析。结果 :两种方法诊断子宫 宫颈性不孕症的总符合率为 80 .2 %,不符合率为 19.8%;诊断输卵管性不孕症的总符合率为 89.7%,不符合率为 10 .3%。结论 :子宫输卵管造影联合宫 腹腔镜检查是目前诊断女性不孕症的最佳方法。

宫腹腔镜检查与输卵管造影在输卵管性不孕症诊断中的价值

目的:通过子宫输卵管造影(HSG)及宫-腹腔镜检查,观察输卵管通畅情况,分析两种方法在输卵管性不孕症诊断中的临床应用价值。方法:以2006～2009年在连云港市妇幼保健院治疗的163例不孕妇女先进行输卵管造影,再行宫-腹腔镜联合检查,以术中病理结果作为"金标准"。结果:HSG下输卵管通畅21例,通而不畅53例,完全不通畅89例,宫-腹腔镜联合检查术发现HSG示输卵管完全或部分梗阻的142例中,完全通畅者24例,通而不畅48例,完全阻塞70例。宫腔粘连8例,输卵管间质部阻塞37例。在输卵管性不孕症临床诊断中,宫-腹腔镜检查和子宫输卵管造影相比较,有统计学差异(P<0.05)。结论:腹腔镜检查对输卵管性不孕症的诊断价值优于子宫输卵管造影,适合临床应用。

ENDOMETRIOSIS IN ADOLESCENTS──ANALYSIS OF 6 CASES

Objective.To study the characteristics, diagnosis and treatment of endometriosis in adolescent patients. Method.Six cases of adolescent endometriosis in our hospital were reviewed retrospectively. Result. Endometriosis is the most common cause of chronic pelvic pain in adolescents. There may be a natural progression of endometriosis from atypical lesions in adolescents to classic lesions in adults. Congenital abnormalities of the reproductive tract are the main reasons for the adolescent endometriosis. Conclusion. Endometriosis should be strongly suspected in adolescent girls with chronic pelvic pain,especially unresponsive to oral contraceptives and nonsteroidal anti-inflammatory drugs. The treatment involves the operations and medicines.