子宫输卵管碘油造影术在评价输卵管状况中的诊断价值

目的:评价子宫输卵管碘油造影(HSG)在检查不孕患者输卵管状况中的应用价值。方法:65例HSG检查异常的不孕患者,行腹腔镜检查术+输卵管美兰通液术,比较HSG结果与腹腔镜下检查结果。结果:HSG诊断输卵管积水的敏感度和特异度分别为92.00%和98.10%,诊断输卵管近段阻塞的敏感度和特异度分别为40.00%和93.91%,诊断输卵管伞部粘连的敏感度和特异度分别为62.16%和80.36%,诊断输卵管周围粘连(盆腔粘连)的敏感度和特异度分别为73.68%和31.430%。结论:HSG对输卵管积水有较高的诊断价值,对伞端粘连有中等意义的价值,对输卵管近端梗阻、输卵管周围粘连(盆腔粘连)的阳性预测价值较小。

The Value of HSG for Tubal Evaluation in lnferelity

Objective:To determine the value of HSG for tubal evaluation in infertility.Methods:65 infertility patients,whose HSG result was abnormal,were undergone surgery of laparoscopy and dye test.The results of the HSG and the surgery of the laparoscopy and dye test were compared.Results:The sensitivity and specificity of HSG in diagnosis of hydrosalpinx,proximal tubal occlusion,distal tubal occlusion and peritubal adhensions were 92.00% and 98.10%,40.00% and 93.91%,62.16% and 80.36% and 73.68% and 31.43%,respectively.Conclusion:An abnormal HSG shows higher accuracy in predicting hydrosalpinges and moderate accuracy in predicting distal tubal blockage.Abnormal HSG test findings have poor accuracy in predicting promximal tubal obstructrion and peritubal adhesions.