CAJ | 학술논문

目的探讨子宫输卵管碘油造影(HSG)与腹腔镜检查在不孕症输卵管通畅性检查中的应用.方法 207例不孕症患者先后接受HSG和腹腔镜检查,分析比较其检查结果.结果 HSG与腹腔镜检查诊断输卵管性不孕症总符合率为72.9％,HSG具有一定的假阳性,腹腔镜可准确诊断其他盆腔疾病并同时进行手术治疗.结论 HSG与腹腔镜检查各有利弊,HSG能较好地反映子宫输卵管全貌以及输卵管梗阻部位,是不孕症输卵管检查的首选方法,可作为腹腔镜检查前的初筛,对HSG异常者应及时行腹腔镜诊治,两者联合是诊断输卵管性不孕症的最佳方法.
목적 탐토자궁수란관전유조영(HSG)여복강경검사재불잉증수란관통창성검사중적응용.방법 207례불잉증환자선후접수HSG화복강경검사,분석비교기검사결과.결과 HSG여복강경검사진단수란관성불잉증총부합솔위72.9％,HSG구유일정적가양성,복강경가준학진단기타분강질병병동시진행수술치료.결론 HSG여복강경검사각유리폐,HSG능교호지반영자궁수란관전모이급수란관경조부위,시불잉증수란관검사적수선방법,가작위복강경검사전적초사,대HSG이상자응급시행복강경진치,량자연합시진단수란관성불잉증적최가방법.
Objective To investigate the application of hysterosalpingography (HSG) and hysteroscopy in fallopian tube patency check for infertile women.Methods A retrospective analysis of 207 infertility patients underwent HSG and laparoscopy was made and the test results were compared.Results Total conincidence rate of HSG and laparoscopy in the diagnosis of tubal infertility was 72.9％,HSG had some false positives,laparoscopy can be used for accurately diagnosing other pelvic diseases and operation treatment.Conclusions HSG and laparoscopy have their own advantages and disadvantages,HSG can better reflect the panorama of uterus and the obstruction,site of fallopian tube,is the preferred method for fallopian tube patency check in infertile women,which can be used before laparoscopy for the screening,the patients with abnormal HSG results shouldbe timely given laparoscopy for diagnosis and treatment,the combined use of HSG and laparoscopy is the best method for the diagnosis of tubal infertility.