CAJ | 학술논문

目的与腹腔镜下通液检查对照,研究子宫输卵管碘油造影(HSG)诊断输卵管性不孕的诊断价值及局限性.方法选择2005年1月至2009年12月在中山大学孙逸仙纪念医院因HSG发现输卵管病变行腹腔镜检查的167例不孕症患者,共计330条输卵管,以手术中所见为诊断标准,对两种检查方法结果进行回顾性分析.结果两种检查方法差异有统计学意义,HSG诊断输卵管通畅的阳性符合率(敏感度)为55.0%,诊断通而不畅的符合率为18.5%,诊断阻塞的阴性符合率(特异度)为84.4%,判断输卵管通畅性的准确性是71.8%,167例患者中148例腹腔镜检查存在不同程度的盆腔粘连,HSG发现30例.结论 HSG是判断输卵管通畅性有效的方法,但有其局限性,对HSG提示输卵管病变,特别是提示通而不畅及盆腔粘连者,应及时行腹腔镜检查及治疗.
목적 여복강경하통액검사대조,연구자궁수란관전유조영(HSG)진단수란관성불잉적진단개치급국한성.방법 선택2005년1월지2009년12월재중산대학손일선기념의원인HSG발현수란관병변행복강경검사적167례불잉증환자,공계330조수란관,이수술중소견위진단표준,대량충검사방법결과진행회고성분석.결과 량충검사방법차이유통계학의의,HSG진단수란관통창적양성부합솔(민감도)위55.0%,진단통이불창적부합솔위18.5%,진단조새적음성부합솔(특이도)위84.4%,판단수란관통창성적준학성시71.8%,167례환자중148례복강경검사존재불동정도적분강점련,HSG발현30례.결론 HSG시판단수란관통창성유효적방법,단유기국한성,대HSG제시수란관병변,특별시제시통이불창급분강점련자,응급시행복강경검사급치료.
Objectve To compared the standard diagnostic laparoscopy with the chromopertubation test, this study investigated the diagnostic value and its diagnostic of hysterosalpingography(HSG)in the assesment of tubal patency. Methods Form Jan.2005 to Dec.2009, 167 infertile patients in Sun Yat-sen Memorial Hospitalof Sun Yat-sen University were recruited, who had tubal diseases detected by hysterosalpingography and then received laparoscopic tubal re-examination.330 fallopian tubes were examined totally, the results of laparoscopy and hysterosalpingography for tubal patency assessment were compared retrospectively. Results There were statistical difference between the two methods. The positive coincidence rate (sensitivity) of HSG for detecting tubal patency was 55.0%, the diagnostic accordance rate of incompletely unobstructed tubes was 18.5%, and the negative consistent (specificity) of obstructed tubes was 84.4%. And the diagnostic accuracy was 71.8%. 148 Patients who had pelvic adhesion were detected by laparoscopy, however, only 30 cases of pelvic adhesion were detected by HSG. Conclusion HSG was an effective method for assessing tubal patency initially, but it had its own deficiency, it is necessary to make a diagnosis and give treatment under laparoscopy when tubal diseases were detected by HSG, especially when tubes were found to be incompletely unobstructed and the patients may have pelvic adhesion.