子宫输卵管实时三维超声成像与X线子宫输卵管造影的对比研究

目的：探讨实时三维超声子宫输卵管造影（sonohysterosalpingography，SHSG）在临床中的可行性和价值。方法：分别对97例不孕症患者分两组进行实时三维超声监视下子宫输卵管造影和子宫输卵管x线造影术（Hys—terosalpingography，HSG），观察宫腔形态、输卵管通畅情况，检查结果分别与宫腹腔镜联合检查作比较。结果：将SHSG与腹腔镜检查输卵管结果进行统计学分析，显示两组结果有高度的一致性（Kappa值=0．880），将HSG与腹腔镜检查输卵管结果进行统计学分析，显示两组结果没有高度的一致性（Kappa值=0．574）。结论：SHSG方法简单，可动态观察，诊断准确率高且安全可靠，可作为-A-性不孕症的筛检方法之一。

Transvaginal Sonohysterosalpingography and Hysterosalpingography:A Comparative Study

Objective： To evaluate the diagnostic value of transvaginal sonohysterosalpingography （ SHSG } for fallopian tube lesions. Method： SHSG and HSG were performed for 97 patients with secondary sterility. Observation of uterine, oviduct tubes situation, and the testing result respectively were compared with laparoscopic inspection. Result- SHSG and Iaparoscopic oviduct were statistical analysed1 It suggested that the two groups of the results had a high degree of consistency { Kappa = 0. 880 }. HSG and laparoscopic oviducted statistical analysed, It suggested that both groups hadn＇t high consistency { Kappa = 0. 574 }. Con- clusion：SHSG is a reliable procedure for detecting fallopian tube lesions and the first choice of methods in diagnosis of primary sterility.