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目的 :探讨创伤性子宫腔内粘连 (IUA)子宫输卵管造影 (HSG)表现与其病理改变的关系。材料与方法 : HSG诊断为IUA的患者 85例 ,均行分粘手术取活检做病理检查。结果 :HSG与病理分级为轻度和重度者各 70例和 8例 ,两种检查方法具有很好的一致性 (Kappa =0 65 ,P <0 0 0 5 )。 结论 :HSG检查不仅对IUA的诊断和分级有重要价值 ,而且是IUA分粘手术治疗及预后判断不可缺少的重要检查手段。
Objective: To investigate the relationship between the appearance of hysterosalpingography (HSG) and its pathological changes in traumatic uterine cavity adhesions (IUA). MATERIALS AND METHODS: Eighty-five patients with HSG diagnosed as IUA underwent biopsy for histopathology. Results: There were 70 cases and 8 cases of mild and severe HSG with pathological grade. There was a good agreement between the two methods (Kappa = 0 65, P 0 005). Conclusion: The HSG test is not only valuable for the diagnosis and classification of IUA, but also an indispensable and important means of examination for IUA sticking operation and prognosis.