CAJ | 학술논문

目的：探讨子宫输卵管碘油造影（ HSG）在宫腔粘连中的诊断价值。方法回顾性分析5092例HSG检查的患者，提取其中经HSG诊断为宫腔粘连（IUA）585例患者的完整临床资料及造影影像资料，并比较宫腔镜进一步检查的结果。结果经HSG诊断为IUA的585例患者中，轻度粘连347例（59．32％），中度粘连179例（30．60％），重度粘连59例（10．08％），其中230例患者行宫腔镜进一步检查，213例证实为 IUA，符合率为92．61％。结论 HSG可以直观地了解子宫腔是否存在粘连，并确定IUA的部位、范围和程度，其操作简单、方便，患者不适程度小，费用较低，为临床上鉴别IUA常规、可靠的检查方法。
목적：탐토자궁수란관전유조영（ HSG）재궁강점련중적진단개치。방법회고성분석5092례HSG검사적환자，제취기중경HSG진단위궁강점련（IUA）585례환자적완정림상자료급조영영상자료，병비교궁강경진일보검사적결과。결과경HSG진단위IUA적585례환자중，경도점련347례（59．32％），중도점련179례（30．60％），중도점련59례（10．08％），기중230례환자행궁강경진일보검사，213예증실위 IUA，부합솔위92．61％。결론 HSG가이직관지료해자궁강시부존재점련，병학정IUA적부위、범위화정도，기조작간단、방편，환자불괄정도소，비용교저，위림상상감별IUA상규、가고적검사방법。
Objective To investigate the effect of Hysterosalpingography (HSG) on the diagnostic of intra-uterus adhesion ( IUA) . Methods Data of 5092 patients who underwent HSG examination in our hospital from Feb. 2011 to Jul. 2012 were retrospective?ly analyzed,and 585 patients diagnosed as Intra-uterus adhesion were included in this study. Both their clinical data and radiography data were compared with the hysteroscopy outcomes,which were considered as the gold standard. Results Among the 585 patients diag?nosed as IUA,347 patients were gentle,179 patients were moderate,and 59 patients were severe. 230 of 585 patients accepted hysterosco?py examination,and 213 patients were diagnosed with IUA. The diagnostic accuracy was 92. 61%. Conclusion The location,range and extent of IUA can show directly by HSG,which is simple and convenient. Patients'discomfort will be reduced to the minimum,and their expense will also be saved. In short,HSG has become a preferred method to diagnose IUA.