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本文通过69例女性不孕症患者相继进行子宫输卵营造影(HSG),染色腹腔镜检查的对比研究,探讨两者在诊断输卵管因素不孕症中的价值。在诊断输卵管通畅度中,两种检查方法比较总符合率为83.6%,不符合率16.4%。HSG的敏感度83.63%,特异度83.3%,发现宫腔及输卵管腔疾病5例。染色腹腔镜检查除了对输卵管通畅度能作出较准确的判断外,还可发现影响生育的其它盆腔疾病及盆腔粘连。研究结果表明:①HSG仍应作为女性不孕症病因检查的初步筛选检查。②当HSG提示输卵管阻塞时,应及早作染色腹腔镜检查。
In this paper, 69 cases of female infertility patients have conducted uterine spondylosis (HSG), staining contrast study of laparoscopy to explore the value of both in the diagnosis of tubal infertility. In the diagnosis of tubal patency, the two methods compared with the total compliance rate of 83.6%, 16.4% of the rate of non-compliance. The sensitivity and specificity of HSG were 83.63% and 83.3%, respectively. Five cases of intrauterine and tubal cavity diseases were found. Dyeing laparoscopy in addition to tubal patency can make more accurate judgments, but also found that affect other reproductive pelvic diseases and pelvic adhesions. The results show that: ①HSG should still be used as a primary screening test for the etiological examination of female infertility. ② HSG tips tubal obstruction, should be as early as possible laparoscopic examination.