输卵管通液测压在输卵管通畅度诊断中的作用

目的 评估输卵管通液压力测量仪在输卵管通畅度诊断中的作用。方法 总共132不孕妇女来自广州中山大学附属第三医院不育与性医学科门诊，在第一个周期输卵管通液压力测量仪诊断输卵管异常（轻度闭塞管或闭塞管），在第二周期进行子宫输卵管造影术（HSG）。结果 51例原发性不孕症和81例继发性不孕症，第一个周期输卵管通液压力测量仪诊断输卵管异常分类无显著性差异。输卵管通液压力测量仪诊断结果与子宫输卵管造影诊断结果有显著性差异。输卵管通液压力测量仪诊断输卵管完全阻塞的患者与造影结果的一致性是71.1％（49／69），输卵管通液压力测量仪诊断输卵管轻度阻塞的患者与造影结果的一致性是57．2％（36／63），总共有25．8％（34／132）是正常的HSG结果。结论 输卵管通液压力测量仪可以作为输卵管通畅度的一线筛选试验，但不能取代子宫输卵管造影术。

The Diagnostic Value of Tubal Flushing Pressure Measuring in Assessment of Tubal Patenty

Objectives To asses the role of tubal flushing pressure measuring instrument in the evaluation of tubal patency. Methods Totally 132 infertile women came from the outpatient department of Department of Infertility and Sexual Medicine, Third Affiliated Hospital, Zhongshan University,Guangzhou China,who were suspected tubal abnormality （mild occluded tubes or occluded tubes ） according to tubal flushing pressure measuring instrument and underwent hysterosalpingography （HSG） in the next cycle were included. Results 51 cases were primary infertility and 81 cases of secondary infertility, without significant difference in the results according to either tubal flushing pressure measuring instrument or HSGo Comparison of the result of tubal flushing pressure measuring instrument with hysterosalpingography （HSG） showed significant difference., 74.2% tubal abnormality （mild occluded tubes or occluded tubes ） according to tubal flushing pressure measuring instrument were confirmed by HSG, but there were still 34 （25.8%） cases of normal HSG results. Conclusion Tubal flushing pressure measuring could serve as a valuable, first-line screening test in the assessment of tubal patency, with an objective target of pumping pressure,but could not displace HSG.