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目的评价子宫输卵管造影术在女性不孕症中的应用价值。方法对山西省平遥县中医院2005年1月~2012年12月406例不孕症患者行子宫输卵管造影(HSG)的临床资料进行回顾性分析;比较20~30岁和≥31岁不同年龄段子宫显影和输卵管显影情况及HSG术中、术后不良反应,随访其妊娠结局。结果≥31岁年龄段宫腔粘连及卵管阻塞所占比例均高于20~30岁。术后随访100例,自然受孕26例(26%)。结论 HSG发生不良反应少,可以明确显示子宫形态、输卵管状态,对阻塞部位有很好的临床价值,≥31岁的不孕症患者建议首先进行HSG检查,可为下一步诊疗提供帮助。
Objective To evaluate the value of hysterosalpingography in female infertility. Methods The clinical data of 406 patients with infertility who underwent HSG from January 2005 to December 2012 in Pingyao County Hospital of Traditional Chinese Medicine were retrospectively analyzed. Comparisons were made between different age groups of 20-30 years old and ≥31 years old Uterine development and tubal development and HSG intraoperative and postoperative adverse reactions, follow-up of their pregnancy outcome. Results ≥31 age group intrauterine adhesions and the proportion of obstruction of the tube were higher than 20 to 30 years old. Follow-up 100 cases, 26 cases of natural pregnancy (26%). Conclusions HSG has few side effects and can clearly show the morphology of uterus and tubal state. It has good clinical value for the obstructed site. HSG examination is recommended for patients with infertility ≥31 years old and may be helpful for the next diagnosis and treatment.