CAJ | 학술논문

【目的】探讨子宫输卵管造影(hysterosalpinography,HSG)检查在输卵管阻塞性不孕诊断中的应用价值。【方法】选择输卵管阻塞性不孕症患者98例,对比分析 HSG、腹腔镜检查结果。【结果】HSG 诊断为畅通149支,梗阻44支；腹腔镜诊断为畅通121支,梗阻72支,HSG 诊断灵敏度为97.5%(118/121),特异度为56.9%(41/72),阳性预测值为79.2%(118/149),阴性预测值为93.2%(41/44)。所有患者中仅3例患者出现恶心,无需特殊处理。【结论】HSG 检查输卵管阻塞性不孕患者,操作简单,创伤性小,灵敏度高,值得在临床中推广。
【목적】탐토자궁수란관조영(hysterosalpinography,HSG)검사재수란관조새성불잉진단중적응용개치。【방법】선택수란관조새성불잉증환자98례,대비분석 HSG、복강경검사결과。【결과】HSG 진단위창통149지,경조44지；복강경진단위창통121지,경조72지,HSG 진단령민도위97.5%(118/121),특이도위56.9%(41/72),양성예측치위79.2%(118/149),음성예측치위93.2%(41/44)。소유환자중부3례환자출현악심,무수특수처리。【결론】HSG 검사수란관조새성불잉환자,조작간단,창상성소,령민도고,치득재림상중추엄。
[Objective]To explore the effect of hysterosalpingography in the diagnosis of tubal obstruction infertility diagnosis.[Methods]98 cases of infertility caused by fallopian tube obstruction were selected,and the results of HSG and laparoscopy were compared with.[Results]Through HSG diagnosis,149 fallopian tubes were found to be smooth,44 of which were obstructed.The diagnostic sensitivity was 97.5% (1 18/121),the specificity was 56.9% (41/72),the positive predictive value was 79.2% (1 18/149),and the negative predic-tive value was 93.2% (41/44).Of all patients,only 3 of them had nausea without special treatment.[Conclu-sion]HSG examination on tubal obstruction infertility patients is simple to operate with little trauma,but high sensitivity.It is worth of clinical promotion.