CAJ | 학술논문

目的：探讨数字X线子宫输卵管造影检查诊断女性不孕症的临床价值。方法：选择我院诊断的不孕症患者795例，行X线子宫输卵管造影检查，观察输卵管通畅性、子宫腔是否存在畸形，回顾性分析子宫输卵管造影对不孕症诊断的临床价值。结果：子宫发育形态正常763例，子宫异常32例，其中双角子宫2例，单角子宫8例，鞍状子宫12例，宫腔粘连5例，宫内充盈缺损5例。输卵管双侧通畅357例（44.90%），单侧通畅伴对侧炎症115例（14.47%），单侧通畅伴对侧梗阻122例（15.35%），单侧炎症伴对侧梗阻68例（8.55%），双侧炎症92例（11.57%），双侧梗阻41例（5.16%）。对患者检查后随访6个月，224例（28.17%）患者怀孕。结论：子宫输卵管造影在女性输卵管性不孕症诊断中具有重要作用。
목적：탐토수자X선자궁수란관조영검사진단녀성불잉증적림상개치。방법：선택아원진단적불잉증환자795례，행X선자궁수란관조영검사，관찰수란관통창성、자궁강시부존재기형，회고성분석자궁수란관조영대불잉증진단적림상개치。결과：자궁발육형태정상763례，자궁이상32례，기중쌍각자궁2례，단각자궁8례，안상자궁12례，궁강점련5례，궁내충영결손5례。수란관쌍측통창357례（44.90%），단측통창반대측염증115례（14.47%），단측통창반대측경조122례（15.35%），단측염증반대측경조68례（8.55%），쌍측염증92례（11.57%），쌍측경조41례（5.16%）。대환자검사후수방6개월，224례（28.17%）환자부잉。결론：자궁수란관조영재녀성수란관성불잉증진단중구유중요작용。
Objective:To investigate the clinical value of digital X-ray hysterosalpingography (HSG) in diagnosis of female infertility. Methods: Choice of 795 infertility patients in our hospital with the diagnosis, imaging X-ray uterine oviduct, whether there is abnormal patency of fallopian tube, uterus, retrospective analysis on the clinical value of hysterosalpingography in infertility diagnosis. Results: The development of uterus were normal in 763 cases, uterine abnormalities in 32 cases, including 2 cases of double horn of uterus, 8 cases of single horn of uterus, 12 cases of saddle uterus, 5 cases of uterine cavity adhesion, 5 cases of intrauterine . Fallopian tube patency in 357 (44.90%)cases were bilateral, unilateral patency with contralateral inflammation in 115 cases(14.47%), unilateral patency with contralateral obstruction in 122 cases(15.35%), unilateral inflammation with contralateral obstruction in 68 cases(8.55%), bilateral inflammation in 92 cases(11.57%), bilateral obstruction in 41 cases(5.16%). On follow-up examination after 6 months, 224 cases(28.17%)in patients with pregnancy. Conclusion:Hysterosalpingography plays an important role in the diagnosis and treatment of female tubal infertility.