摘要
目的分析子宫输卵管造影(简称HSG)在不孕症诊断中的价值。方法本研究主体为2017年4月至2019年4月间入院治疗的54例(108条输卵管)不孕症患者。对其进行HSG与腹腔镜引导下美蓝通染液试验(简称CLP)诊断。将CLP作为金标准,评价HSG的诊断符合率。并对比两种诊断方法对于梗阻部位和盆腔病变的检出情况。结果HSG的阳性符合率为85.19%,阴性符合率为66.67%。对比两种方法的梗阻部位检出率未见差异(P>0.05)。对比两种方法的盆腔病变检出率有显著差异,具体为HSG的检出率低于CLP(P<0.05)。结论HSG对于不孕症的诊断符合率较高,且能明确梗阻部位。但对于盆腔病变诱发的不孕症不具有高度敏感性,可作为不孕症的初筛诊断方式,若其结果异常,需联用腹腔镜技术,以提高确诊率。
Objective To analyze value of hysterosalpingography(HSG)in diagnosis of infertility.Methods We chose 54 cases of infertility patients(108 fallopian tubes)enrolled from April 2017 to April 2019,carry on HSG and laparoscopic guided CLP for diagnosis.With gold standard of CLP,evaluate diagnostic coincidence rate of HSG,and compare detection of obstruction and pelvic lesions of two diagnostic methods.Results Positive coincidence rate of HSG was 85.19%,negative coincidence rate was 66.67%,there was no difference in detection rate of obstruction site between two methods(P>0.05).There was significant difference in detection rate of pelvic lesions between two methods.Detection rate of HSG was lower than that of CLP(P<0.05).Conclusion HSG has high coincidence rate in diagnosis of infertility,can identify location of obstruction.However,it has no high sensitivity to infertility induced by pelvic lesions,which can be primary screening diagnosis method of infertility.If result is abnormal,it is necessary to combine laparoscopy to improve diagnosis rate.
作者
姚丽莎
YAO Li-sha(Reproductive Health Department,The Second Hospital of Weihai affiliated to Qingdao University(Weihai Maternal And Child Health Hospital),Weihai,Shandong,264200)
出处
《智慧健康》
2020年第30期17-18,162,共3页
Smart Healthcare
关键词
子宫输卵管造影
不孕症
诊断
腹腔镜技术
Hysterosalpingography
Infertility
Diagnosis
Laparoscopic technique
