| 子宫输卵管碘油造影在输卵管性不孕中的应用分析 |
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| 引用本文： | 李玉艳,俞炽阳,王凤英,屈宗银. 子宫输卵管碘油造影在输卵管性不孕中的应用分析[J]. 实用妇产科杂志, 2007, 23(6): 366-368 |
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| 作者姓名： | 李玉艳 俞炽阳 王凤英 屈宗银 |
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| 作者单位： | 第三军医大学西南医院,重庆,400038 |
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| 摘 要： | 目的:评价子宫输卵管碘油造影在输卵管性不孕中的应用价值。方法:前瞻性研究分析119例行子宫输卵管碘油造影(HSG)和腹腔镜检查的病例资料。结果:子宫输卵管碘油造影诊断输卵管内部通畅情况的总符合率为84.3%(194/230),诊断盆腔粘连的灵敏度为96.3%(52/54),特异度为63.6%(7/11),但HSG后有17条输卵管在腹腔镜检查时出现梗阻。结论:作为一种经济的检查方法,子宫输卵管碘油造影(HSG)可以较准确地判断输卵管内部的通畅情况及盆腔粘连情况,但如果输卵管中有碘油残留,应及时行腹腔镜手术清除防止输卵管进一步梗阻。
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| 关 键 词： | 子宫输卵管碘油造影 腹腔镜检查 输卵管性不孕 |
| 文章编号： | 1003-6946(2007)06-366-03 |
| 修稿时间： | 2007-01-20 |
The Diagnostic Accuracy of Hysterosalpingography for the Evaluation of the Tubal and Pelvic Factors in Female Infertility |
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| LI Yuyan,YU Chiyang,WANG Fengying,et al. The Diagnostic Accuracy of Hysterosalpingography for the Evaluation of the Tubal and Pelvic Factors in Female Infertility[J]. Journal of Practical Obstetrics and Gynecology, 2007, 23(6): 366-368 |
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| Authors: | LI Yuyan YU Chiyang WANG Fengying et al |
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| Abstract: | Objective:To evaluate the diagnostic accuracy of hysterosalpingography(HSG)for tubal infertility.Methods:A total of 119 female infertile patients undergoing laparoscopy after HSG were included.The tubal and pelvic pathologies were compared within operative procedures.Results:With surgical findings as the gold standard,HSG had a total coincidence of 84.3%(194/230)and 90.8%(59/65),a specificity of 61.4%(27/44) and 63.6%(7/11),a sensitivity of 89.8%(167/186) and 96.3%(52/56),and a Youden index of 0.512 and 0.599 for diagnosis of tubal patency and pelvic factor,respectively.Conclusions:As a preliminary economic method,HSG has special diagnostic value for detection of female upper genital tract pathologies. |
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| Keywords: | Hysterosalpingography(HSG) Laparoscopy Tubal infertility |
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