目的:探讨X线数字化子宫输卵管造影术(Hysterosalpingography,HSG)在输卵管性不孕症诊疗中的运用价值。方法:用76%复方泛影葡胺在X线数字化成像系统和X线影像增强系统下分别检查输卵管性不孕症患者100例。数字化成像系统组检查时连续动态记录造影剂进入输卵管至弥散入盆腔全过程。X线影像增强系统组造影过程中密切观察造影剂经子宫角充盈至弥散入盆腔全过程并分别摄片。两种检查方法均在20 min时摄延时片一张。结果:两种方法均能较好地显示子宫腔,输卵管及盆腔造影剂的涂布。X线数字化HSG在术中观察、动态记录、时机判断、术后图像处理、显示图像细节、通畅度评价上明显优于X线影像增强HSG。结论:数字化HSG术在判断输卵管通畅度上有较高的准确性,应作为输卵管性不孕症的首选方法。 Objective: To investigate the value of X-ray digital hysterosalpingography (HSG) in diagnosis and treatment of tubal infertility. Methods: A total of 100 cases of tubal infertility were examined by X-ray digital imaging system and X-ray image enhancement system with 76% compound diatrizoate. Digital imaging system group to check continuous dynamic recording contrast agent into the fallopian tubes to diffuse into the pelvic whole process. X-ray image intensifier system during the formation of contrast closely observe the contrast agent filling through the uterine horn to diffuse into the pelvic whole process and radiography. Both methods of examination at 20 min delay film one. Results: The two methods can better show the uterine cavity, fallopian tubes and pelvic contrast agent coating. X-ray digital HSG in intraoperative observation, dynamic recording, timing, postoperative image processing, display image details, patency evaluation was significantly better than the X-ray image enhancement HSG. Conclusion: Digital HSG has a higher accuracy in judging tubal patency and should be the preferred method of tubal infertility.