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目的 :观察不孕患者输卵管阻塞情况 ,分析原发性和继发性不孕症患者输卵管阻塞程度差异。方法 :对124例不孕症女性患者进行直接法子宫输卵管核素造影(DRNHSG)或碘油造影(HSG)。结果 :DRNHSG的阳性率85 1% ,与HSG(阳性率为78 0 %)比较无显著差异 ,P>0 05。原发性和继发性不孕症患者双侧输卵管阻塞的发生率明显高于单侧阻塞 ,P<0 05。原发性不孕症患者输卵管完全阻塞的发生率为57 1 % ,明显高于不完全阻塞 ,P<0 01。原发性不孕的输卵管完全阻塞数明显高于继发性不孕症 ,P<0 01。结论 :DRNHSG和HSG是检测输卵管阻塞的可靠方法 ,DRNHSG可判断输卵管功能 ,HSG可观察输卵管病变。原发性不孕症患者的输卵管以完全阻塞多见 ,而继发性不孕症患者以输卵管不完全阻塞或功能降低为主。
OBJECTIVE: To observe the tubal occlusion in infertile patients and analyze the difference of tubal occlusion between primary and secondary infertility patients. Methods: 124 cases of female infertility were treated by direct uterine tubal radionuclide imaging (DRNHSG) or lipiodol angiography (HSG). Results: The positive rate of DRNHSG was 85 1%, which was not significantly different from that of HSG (78 0%) (P> 0.05). The incidence of bilateral tubal obstruction in patients with primary and secondary infertility was significantly higher than that of unilateral obstruction (P <0.05). The incidence of tubal obstruction in primary infertility patients was 57.1%, significantly higher than that of incomplete obstruction (P <0.01). The total number of tubal obstruction of primary infertility was significantly higher than that of secondary infertility, P <0.01. Conclusion: DRNHSG and HSG are reliable methods to detect tubal obstruction. DRNHSG can judge tubal function and HSG can observe tubal lesion. Tubal obstruction in patients with primary infertility more common, and secondary infertility patients with tubal obstruction or decreased function-based.