132例不孕症子宫输卵管造影结果回顾性分析

目的:探讨子宫输卵管造影术(HSG)在不孕症中的诊断价值。方法:收集132例不孕症患者子宫输卵管造影及其临床资料进行回顾性分析。结果:子宫性不孕占19.70%,输卵管性不孕占52.45%。264支输卵管中通畅129支(48.86%),不完全梗阻67支(25.38%),完全梗阻68支(25.76%)。HSG24h后盆腔造影剂弥散情况显示,盆腔见大量均匀弥散造影剂21例(15.91%),部分不均匀弥散造影剂44例(33.33%),未见造影剂20例(15.15%),盆腔见弥散造影剂且输卵管内有造影剂残留22例(16.67%),盆腔见少许造影剂、输卵管内无造影剂残留17例(12.88%),盆腔造影剂呈团块状聚集无弥散性造影剂8例(6.06%)。结论:子宫输卵管造影能显示子宫腔和输卵管的全部形态,可精确判断宫腔内和输卵管腔内的病变及通畅情况,是诊断女性不孕症必不可少的方法。

Retrospective analysis of hysterosalpingography in 132 infertile cases

Objective:To investigate the value of hysterosalpingography (HSG) in the diagnosis of infertility.Methods:Hysterosalpingographic and clinical materials of 132 cases with infertility were collected and analyzed retrospectively.Results:Among 132 cases, abnormal findings of uterus and fallopian tubes resulting in infertility were 19.7% and 52.45% respectively. Of 264 fallopian tubes, complete patency was seen in 129 tubes(48.86%), partial obstruction in 67 tubes(25.38%),complete obstruction in 68 tubes(25.76%).24 h later after hysterosalpingography, the X-ray signs were indicated as following: large quantities of completely dispersed contrast medium were seen in pelvic cavity in 21 cases (15.91%),partially un-dispersed contrast medium in 44 cases(33.33%), no contrast medium in 20 cases(15.15%).There existed dispersed contrast medium in pelvic cavity and remanet of contrast medium in fallopian tubes among 22 cases(16..67%);There were few contrast medium in pelvic cavity and no remanet of contrast medium in fallopian tubes among 17 cases (12.88%);There were seen mass-like contrast medium in pelvic cavity rather than dispersed one in 8 cases(6.06%).Conclusion:Hysterosalpingography not only can make the whole morphologic form of uterine cavity and fallopian tubes clearly , but also can exactly estimate their abnormal changes and patent features. Therefore , it can be concluded that HSG is a preferred and indispensable method for diagnosing female infertility.