子宫输卵管碘造影与超声子宫水造影诊断女性不孕症的临床研究

目的评价子宫输卵管碘造影（HSG）与超声子宫水造影（SIS）对于女性不孕症子宫腔病变诊断价值。方法96例女性不孕症患者，同时行HSG与SIS，以宫腔镜（HS）和病理结果（Pathol）为标准，计算两种方法诊断子宫内膜息肉、黏膜下肌瘤、宫腔粘连及子宫腔畸形的敏感性、特异性、Youden指数和Kappa值。结果37例患者被诊断患有子宫腔病变。HsG诊断内膜息肉、黏膜下肌瘤、宫腔粘连的敏感性、特异性、Youden指数和Kappa分别为0．78、0．97、0．67、0．79；0．92、0．99、0．83、0．91；0．88、0．98、0．62、0．81。SIS的各参数分别为0．83、0．99、0．79、0．86；1．00、0．99、0．92、0．95；0．50、0．99、0．38、0．59。HSG和SIS诊断子宫腔畸形的各参数均为1．00。结论与传统的HSG相比，SIS对女性不孕子宫腔病变的诊断有很高的敏感性和特异性，而且简便易行、疼痛轻微、并发症少。

Clinical study on hysterosalpingography and saline influsion hysterosonography for diagnos in infertilie women

Objective: To evaluate the diagnostic role of hysterosalpingography(HSG) and Saline influsion hysterosonography(SIS) in the detection of uterine cavity abnormalities of infertilie women.Methods: Ninty-six patients of infertilie women were evaluated by HSG and SIS,The diagnostic parameters of two techniques were compared with hysteroscopic(HS) and pathologic(Pathol) results.Results:Thirty-seven infertilie women were found to have uterine cavity abnormalities.The sensitivity,specificity Youdens Index and Kappa of HSG in polypi,submucous myomas and metrosynizesis were 0.78,0.97,0.67,0.79;0.92,0.99,0.83,0.91;0.88,0.98,0.62,0.81,respectively.Those of SIS were 0.83,0.99,0.79,0.86;1.00,0.99,0.92,0.95;0.50,0.99,0.38,0.59,respectively.All diagnostic parameters in uterine cavity malformation of two techniques were 1.00.Conclusion:In comparison with HSG,SIS is an excellent technique with very high sensitivity and specificity for uterine cavity abnormalities.This procedure can be easily performed and well to lerated by patients without complications.