中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2011年
15期
2058-2059
,共2页
不育,女性%子宫输卵管造影术%诊断
不育,女性%子宮輸卵管造影術%診斷
불육,녀성%자궁수란관조영술%진단
Infertility Female%Hysterosalpingography%Diagnosis
目的 探讨子宫输卵管造影对不孕症诊断的价值。方法 收集1 320例不孕症患者子宫输卵管造影结果及临床相关资料进行回顾性分析。结果 子宫异常126例(9.55％)；输卵管双侧通畅616例(46.67％)，双侧阻塞357例(27.05％)，单侧阻塞347( 26.29％)；输卵管间质部阻塞316(23.94％)，峡部阻塞214例(16.21％)，壶腹部阻塞81例(6.13％)，伞端完全阻塞305例(23.09％)，伞端不完全阻塞404例(30.63％)。继发性不孕者输卵管阻塞发生率明显高于原发性不孕者(P＜0.01)；继发性不孕患者中，流产次数≥3次者双侧输卵管阻塞的发生率明显高于流产次数＜3次者(P＜0.01)。造影后3个月内妊娠率为27.65％。结论 在不孕症检查中子宫输卵管造影是经济有效、不可缺少的检查方法。
目的 探討子宮輸卵管造影對不孕癥診斷的價值。方法 收集1 320例不孕癥患者子宮輸卵管造影結果及臨床相關資料進行迴顧性分析。結果 子宮異常126例(9.55％)；輸卵管雙側通暢616例(46.67％)，雙側阻塞357例(27.05％)，單側阻塞347( 26.29％)；輸卵管間質部阻塞316(23.94％)，峽部阻塞214例(16.21％)，壺腹部阻塞81例(6.13％)，傘耑完全阻塞305例(23.09％)，傘耑不完全阻塞404例(30.63％)。繼髮性不孕者輸卵管阻塞髮生率明顯高于原髮性不孕者(P＜0.01)；繼髮性不孕患者中，流產次數≥3次者雙側輸卵管阻塞的髮生率明顯高于流產次數＜3次者(P＜0.01)。造影後3箇月內妊娠率為27.65％。結論 在不孕癥檢查中子宮輸卵管造影是經濟有效、不可缺少的檢查方法。
목적 탐토자궁수란관조영대불잉증진단적개치。방법 수집1 320례불잉증환자자궁수란관조영결과급림상상관자료진행회고성분석。결과 자궁이상126례(9.55％)；수란관쌍측통창616례(46.67％)，쌍측조새357례(27.05％)，단측조새347( 26.29％)；수란관간질부조새316(23.94％)，협부조새214례(16.21％)，호복부조새81례(6.13％)，산단완전조새305례(23.09％)，산단불완전조새404례(30.63％)。계발성불잉자수란관조새발생솔명현고우원발성불잉자(P＜0.01)；계발성불잉환자중，유산차수≥3차자쌍측수란관조새적발생솔명현고우유산차수＜3차자(P＜0.01)。조영후3개월내임신솔위27.65％。결론 재불잉증검사중자궁수란관조영시경제유효、불가결소적검사방법。
Objective To investigate the value of hysterosalpingography in the diagnosis of infertility.Methods Hysterosalpingographic and clinical materials of 1 320 cases with infertility were collected and analyzed retrospectively. Results Among 1 320 cases, the percentage of abnormal uterus was 9.55 ％. Bilateral patency of fallopian tubes cases were accounted for 46.67％, and bilateral obstruction and unilateral obstruction were accounted for 27. 05％ and 26.29％ respectively. The obstruction position of the interstitial portion, the isthmus, the ampulla, the complete fimbrial and the part fimbrial were 23.94％, 16.21％ ,6.13％ ,23.09％ ,30. 63％ respectively. The accidence of tubal obstruction in the secondary infertility group was significantly higher than that in the primary group (P ＜0.01 ) ,and in the secondary infertility group,the bilatral tubal obstruction frequencies for “abortion times ≥3”were significantly higher than those for “abortion times ＜ 3” ( P ＜ 0.01 ). The pregnancy rate was 27.65％ in three months after hysterosalpingography. Conclusion Hysterosalpingography was a cost-effective and indispensable method for diagnosing female infertility.
