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腹腔镜检查和子宫造影对输卵管检查的比较 被引量:13

A comparative study of laparoscopy and hysterosalpingography in the assessment of tubal factors of infertility.
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摘要 本文通过69例女性不孕症患者相继进行子宫输卵营造影(HSG),染色腹腔镜检查的对比研究,探讨两者在诊断输卵管因素不孕症中的价值。在诊断输卵管通畅度中,两种检查方法比较总符合率为83.6%,不符合率16.4%。HSG的敏感度83.63%,特异度83.3%,发现宫腔及输卵管腔疾病5例。染色腹腔镜检查除了对输卵管通畅度能作出较准确的判断外,还可发现影响生育的其它盆腔疾病及盆腔粘连。研究结果表明:①HSG仍应作为女性不孕症病因检查的初步筛选检查。②当HSG提示输卵管阻塞时,应及早作染色腹腔镜检查。 The purpose of this study was to compare the efficiency of laparoscopy with dye hydrotubation and hysterosalpingography (HSG) in the assessment of tubal factors of infertility. 69 cases of infertility underwent HSG and laparoscopy subsequently. Of the two methods used in the assessment of tubal patency,the total agreeable rate was 83.6% while the disagreeable rate was 16.4%. The sensitivity of HSG was 83.6 and the specificity was 83.3%. Five patients were found suffering from intrauterine and intratubal disorders. Apart from providing an accurate assessment of tubal patency,laparoseopy also showed that some patients suffered from a number of other pelvic diseases which affect pregnancy. The conclusion of the study is:①HSG can be used as a primary screening procedure in the investigation of female infertility. ②when HSG shows tubal obstruction,laparoscopy should be appiled promptly.
出处 《中国实用妇科与产科杂志》 CAS CSCD 1994年第1期31-32,共2页 Chinese Journal of Practical Gynecology and Obstetrics
关键词 腹腔镜检 输卵管造影 女性 不育症 Laparoscopy with dye hydrotubation Infertility Hysterosalpingography
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