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目的分析子宫输卵管造影(HSG)在输卵管性不孕中的诊断价值。方法选取2011年1月-2015年4月在该院生殖中心门诊就诊的不孕患者105例,分别行HSG检测和腹腔镜下输卵管通液检查,以术中诊断结果为金标准,分别评估两种诊断方法对输卵管性不孕的诊断价值。结果纳入本研究的输卵管207条,其中51条为通畅,23条通而不畅,81条为远端阻塞,41条输卵管积水,11条近端阻塞;HSG对输卵管性不孕诊断的敏感性、准确度以及特异性分别为0.921、0.884和0.871;腹腔镜检查对输卵管性不孕诊断的敏感性、准确度以及特异性分别为0.843、0.889和0.904。Kappa分析结果表明,两种诊断方法与术中诊断结果均具有较好的一致性。结论 HSG与腹腔镜检查输卵管性不孕的临床诊断价值没有明显差异,两种诊断方法均可在临床推广应用。
Objective To analyze the diagnostic value of hysterosalpingography (HSG) in tubal infertility. Methods From January 2011 to April 2015, 105 inpatients with infertility clinics in the reproductive center outpatient department of our hospital were enrolled in this study. HSG and laparoscopic tubal fluid tests were performed respectively. The intraoperative diagnostic results were the gold standard, Diagnosis of Tubal Infertility by Diagnostic Methods. Results 207 tubal tuberculosis patients were included in this study, of which 51 were unobstructed, 23 unobstructed, 81 obstructed distal, 41 tubal hydrops, and 11 proximal obstructions. HSG was sensitive to the diagnosis of tubal infertility Sex, accuracy and specificity were 0.921,0.884 and 0.871 respectively. The sensitivity, accuracy and specificity of laparoscopy for the diagnosis of tubal infertility were 0.843,0.889 and 0.904 respectively. Kappa analysis results show that the two diagnostic methods and intraoperative diagnostic results are in good agreement. Conclusion There is no significant difference between HSG and laparoscopy in the diagnosis of tubal infertility. Both of the diagnostic methods can be widely applied in clinical practice.