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宫腹腔镜检查与输卵管造影在输卵管性不孕症诊断中的价值
引用本文:李德红,沈海燕,吴玲. 宫腹腔镜检查与输卵管造影在输卵管性不孕症诊断中的价值[J]. 中国妇幼保健, 2011, 26(21): 3322-3323
作者姓名:李德红  沈海燕  吴玲
作者单位:江苏省连云港市妇幼保健院妇科,222000
摘    要:目的:通过子宫输卵管造影(HSG)及宫-腹腔镜检查,观察输卵管通畅情况,分析两种方法在输卵管性不孕症诊断中的临床应用价值。方法:以2006~2009年在连云港市妇幼保健院治疗的163例不孕妇女先进行输卵管造影,再行宫-腹腔镜联合检查,以术中病理结果作为"金标准"。结果:HSG下输卵管通畅21例,通而不畅53例,完全不通畅89例,宫-腹腔镜联合检查术发现HSG示输卵管完全或部分梗阻的142例中,完全通畅者24例,通而不畅48例,完全阻塞70例。宫腔粘连8例,输卵管间质部阻塞37例。在输卵管性不孕症临床诊断中,宫-腹腔镜检查和子宫输卵管造影相比较,有统计学差异(P<0.05)。结论:腹腔镜检查对输卵管性不孕症的诊断价值优于子宫输卵管造影,适合临床应用。

关 键 词:输卵管造影  宫-腹腔镜检查  不孕症

Values of hysteroscopy combined with laparoscopy and hysterosalpingography in diagnosis of tubal infertility
LI De-Hong,SHEN Hai-Yan,WU Ling. Values of hysteroscopy combined with laparoscopy and hysterosalpingography in diagnosis of tubal infertility[J]. Maternal and Child Health Care of China, 2011, 26(21): 3322-3323
Authors:LI De-Hong  SHEN Hai-Yan  WU Ling
Affiliation:LI De-Hong,SHEN Hai-Yan,WU Ling.Department of Gynecology,Maternal and Child Health Hospital of Lianyungang,Lianyungang 222000,Jiangsu,China
Abstract:Objective:To observe the patency situation of fallopian tube by hysterosalpingography(HSG) and hysteroscopy combined with laparoscopy,analyze the clinical application values of the two methods in diagnosis of tubal infertility. Methods:163 infertile women in the hospital received HSG from 2006 to 2009,then hysteroscopy combined with laparoscopy was carried out,the intraoperative pathological result was gold standard. Results:Under HSG,21 women were found with unobstructed fallopian tube,53 women were found ...
Keywords:Hysterosalpingography  Hysteroscopy combined with laparoscopy  Infertility  
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