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目的:评价数字减影 乳胶双腔管子宫输卵管造影(HSG)对于不孕症的诊疗价值。方法:将乳胶双胜管HSG和数字减影技术相结合形成一种新的不孕症诊疗技术,并应用这种技术诊治96例不孕症,其中原发性不孕30例,继发性不孕66例。结果:本组病例经HSG诊断,其中36例行腹腔镜探查,二者符合率为94％;17例经宫腔镜检查,符合率64％。疏通后满半年随访,一、二级输卵管阻塞有15例怀孕。结论:此项技术诊断准确率达94％,对轻度宫腔粘连和输卵管阻塞疏通率41％。它具有宫口密闭性好,可动态观察,图像清晰,医师不直接暴露于×线,无需次日拍片,医患依从性好等优点
Objective: To evaluate the clinical value of digital subtraction latex dual lumen uterine tube oviduct (HSG) in diagnosis and treatment of infertility. Methods: A new method of diagnosis and treatment of infertility was developed by combining HSB Shunsheng tube and digital subtraction technique. 96 cases of infertility were diagnosed and treated by this technique, including 30 cases of primary infertility, secondary 66 cases of infertility. Results: The group of patients diagnosed by HSG, including 36 cases of laparoscopic exploration, the coincidence rate was 94%; 17 cases by hysteroscopy, the coincidence rate of 64%. After six months of follow-up to clear, one or two tubal obstruction in 15 cases of pregnancy. Conclusion: The diagnostic accuracy rate of this technique is 94%, and the rate of clear intrauterine adhesions and tubal blockage is 41%. It has a good seal of the cervix, can be dynamic observation, the image is clear, the physician is not directly exposed to the × line, no need to film the next day, the advantages of good compliance