X光碘油子宫输卵管造影和B超下子宫输卵管造影对比分析

目的 比较分析X光碘油子宫输卵管造影（HSG）和B超下子宫输卵管造影（简称声学造影）在输卵管性通畅性诊断中的价值.方法 对该院2005年1月-2011年12月期间治疗的输卵管性不孕（TFI）患者HSG、声学造影资料进行回顾性分析,其中原发性不孕46例,继发性不孕63例,比较两种方法对输卵管通畅性的诊断结果.结果 210条输卵管中,声学造影与HSG检查的总符合率为90.0%,在诊断通畅、堵塞方面,符合率分别为92.9%,80.3%,而在通而不畅的诊断上符合率仅为52.3%.原发性不孕92条输卵管中,9条输卵管声学造影诊断为通畅,但HSG检查,24 h摄片输卵管伞部附近有部分碘油堆集,诊断为通而不畅.继发性不孕118条输卵管中,通畅的符合率为100.0%.结论 声学造影具有无辐射、简单易行、经济实惠等优点,可作为判断不孕症输卵管通畅性的初筛方法,对诊断梗阻、通而不畅的患者宜行HSG检查确诊.

A comparison analysis between hysteronsalpingocontrast sonography and X ray hysterosalpingography

Objective To compare the diagnosis values between hysteronsalpingoeontrast sonograplly（Ultrasonography） and X ray hysterosalpingography（HSG）. Methods The data of HSG,ultrasonography of tubal factor infertility （TFI） who received treatment in our hospital from January 2005 to December 2011 ,including 46 cases of primary infertility and 63 cases of seeondary infertility. The diagnosis results of tubal pateney between the two methods were compared. Results Of all the 210 ovariun tubes,the total diagnosis coincidence rate of HSG and ultrasonography was 89.5% ,and the coincidence rates were 92.9% ,80.3% in diagnosis of pateney mid conges- tion. it was only 52.3% in that of partially obstructed ovariun tubes. Of all the 92 ovariun tubes in primat7 infertility, 10 ovariun tubes were diagnosed with patency,but HSG was partially obstructed by showing win-ping runs or Serpentine course. Of all the 118 ovariun tubes in secondary infertility,the coincidence rate of pateney was 100.0%. Conclusions Uhrasonography for diagnosis of TFI is better than HSG,which has adwntages of high diagnosis accuracy,noninvasion, simplicity mid convenience for operation, and can be used as the first choice of tubal pateney. But if we want to know the site of fallopian obstruetion,HSG examination is neeessary.