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子宫输卵管碘油造影与宫腹腔镜联合诊治不孕症100例分析
引用本文:王新民.子宫输卵管碘油造影与宫腹腔镜联合诊治不孕症100例分析[J].中国计划生育学杂志,2011,19(3):161-164.
作者姓名:王新民
作者单位:山东省临沂市妇幼保健院生殖中心,276001
摘    要:目的:比较子宫输卵管碘油造影术(HSG)、宫腔镜联合腹腔镜检查在不孕症患者诊治中的临床价值。方法:选择接受HSG、宫腔镜联合腹腔镜检查的100例患者,对比分析检查结果。结果:宫腔镜诊断宫腔内病变阳性率为56.0%,HSG为24.0%;HSG诊断输卵管病变敏感度为75.4%,特异度为85.7%。HSG对于输卵管形态异常、伞端粘连、积水等病变与腹腔镜下的检查结果有80%以上的符合率;HSG诊断宫腔内病变敏感度为42.9%。结论:宫腔镜联合腹腔镜检查对女性不孕症病变的诊断价值高于HSG,且能同时手术治疗,但不能取代HSG;HSG操作简单,费用低,可作为女性不孕症患者的基础检查。

关 键 词:子宫输卵管碘油造影术  宫腔镜  腹腔镜  输卵管  不孕症  诊断与治疗

Comparison of diagnostic accuracy of hysterosalpingography and combination of hysteroscopy and laparoscopy in evaluation of female infertility
Wang Xinmin.Comparison of diagnostic accuracy of hysterosalpingography and combination of hysteroscopy and laparoscopy in evaluation of female infertility[J].Chinese Journal of Family Planning,2011,19(3):161-164.
Authors:Wang Xinmin
Institution:Wang Xinmin Center of Reproduction Medicine,Linyi Maternal and Child Health Hospital of Shandong Province,Linyi 276001
Abstract:Objective:To compared the diagnostic accuracy and therapeutic value of hysterosalpingography(HSG)and combination of laparoscopy and hysteroscopy in female infertility evaluation.Methods:One hundred infertility women underwent these procedures as part of their infertility evaluation.Results:The positive detection rate of combination of laparoscopy and hysteroscopy in diagnosis of intrauterine lesions was 56.0%,while that of HSG was 24.0%.The sensitivity of HSG in diagnosis of fallopian tube disorders 75.4%,a...
Keywords:Hysterosalpingography  Laparoscopy  Hysteroscopy  Fallopian tube  Infertility  Diagnosis and treatment  
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