CAJ | 학술논문

目的：观察引起输卵管性不孕的危险因素并对其诊断方法进行评价，以研究和预防输卵管阻塞引起的不孕，探讨检查输卵管通畅度的方法价值。方法：回顾性分析349 例输卵管阻塞性不孕妇女的情况及危险因素，并对子宫输卵管碘油造影、腹腔镜检查结果与手术发现进行比较。结果：盆腔炎病史、人工流产手术史、阑尾炎手术史、结核病史等均在输卵管性不孕的发生中起一定的作用，前两者更危险。HSG和腹腔镜检查的符合率为66％，但腹腔镜诊断输卵管的通畅度和其他盆腔病变更准确。结论：盆腔炎和反复的人工流产是引起输卵管性不孕的主要危险因素，HSG和腹腔镜对输卵管通畅度的检查均有一定价值。
목적：관 찰인기수란관성불잉적위험인소병대기진단방법진행평개，이연구화예방수란관조새 인기적불잉，탐토검사수란관통창도적방법개치。방법：회고성분석349 례수란관조새성불잉부녀적정황급위험인소，병대자궁수란관전유조영、복강경검사결과여 수술발현진행비교。결과：분강염병사、인공유산수술사、란미염수술사 、결핵병사등균재수란관성불잉적발생중기일정적작용，전량자경위험。HSG화복강경검 사적부합솔위66％，단복강경진단수란관적통창도화기타분강병변경준학。 결 론：분강염화반복적인공유산시인기수란관성불잉적주요위험인소，HSG화복강경 대수란관통창도적검사균유일정개치。
Objective:To in vest igate the risk factors related to tubal infertility and to assess the value of m ethods being used to detect the patency of tube.Methods:349 infe rtility women were retrospectively analysed on its risk factors.Meantime,the aut hors comp ared the detection results of hysterosalpingography and laparoscope with surgica l findings.Results:The history of pelvic inflammator y disease,previous the first-trimester abortion were the risk factors to pathoge nesis of tubal infertility.History of tuberculosis,surgery of appendicitis were risk factors,too.The coincidence between HSG and Laparoscope was 66％.But laparo scope is more accurate than HSG in diagnosis of patency of fallopian tube an d other pelvic diseases. Conclusions:The history of pelvic inflam matory disease and previous the first-trimester abortion are the major risk fact ors in pathogenesis of tubal infertility.Both HSG and Laparoscope have value in diagnosis of pateney of fallopian tube.