中华妇幼临床医学杂志(电子版) ›› 2008, Vol. 04 ›› Issue (03) : 204 -207. doi: 10.3877/cma.j.issn.1673-5250.2008.03.109 × 扫一扫
论著
出版日期:
Dong-mei XIONG, Liang-zhi XU, Rong LI, De-ying KANG, Yu-jian JIA, Ying TANG, Jing ZHUANG
Published:
熊冬梅, 许良智, 李蓉, 康德英, 贾玉俭, 唐英, 庄静. 腹腔镜下通液及子宫输卵管碘油造影在输卵管性不孕中的诊断性试验研究[J]. 中华妇幼临床医学杂志(电子版), 2008, 04(03): 204-207.
Dong-mei XIONG, Liang-zhi XU, Rong LI, De-ying KANG, Yu-jian JIA, Ying TANG, Jing ZHUANG. Diagnostic Test of Laparoscopy and Hysterosalpingography on Examination of Fallopian Tube in Infertile Women[J]. Chinese Journal of Obstetrics & Gynecology and Pediatrics(Electronic Edition), 2008, 04(03): 204-207.
比较分析腹腔镜下通液及子宫输卵管碘油造影对诊断输卵管性不孕的诊断价值及实用性。
2003年1月至2005年2月在四川大学华西第二医院住院手术治疗的108例不孕症患者为研究对象，以手术中发现为诊断的"金标准" ，比较腹腔镜下通液及子宫输卵管碘油造影(hysterosalpingography，HSG)在术前诊断输卵管性不孕的敏感度和特异度。
腹腔镜下通液对输卵管通畅情况的诊断敏感度及特异度均优于子宫输卵管碘油造影，敏感度分别为96.0%及83.6%，与子宫输卵管碘油造影比较，差异有显著意义(P<0.05)；特异度分别为82.9%及57.1%，与子宫输卵管碘油造影比较，差异有显著意义(P<0.05)。
腹腔镜下通液对输卵管性不孕的诊断价值优于子宫输卵管碘油造影，是目前较好的检测手段，应适时使用。
To compare the diagnostic value of hydrotubation under laparoscopy and hysterosalpingography(HSG) for tubal patency assessment.
108 patients suffering from tubal infertility were examined by hydrotubation under laparoscopy and hysterosalpingography before they underwent surgical fallopian tube recanalization.The sensitivity and specificity of 2 methods were compared with the postoperative diagnosis which was regarded as gold standard.
The sensitivity of hydrotubation under laparoscopy was significantly higher than that of hysterosalpingography(96.0% and 83.6% respectively, P<0.05). The specificity of hydrotubation under laparoscopy was also significantly higher than that of hysterosalpingography(82.9% and 57.1% respectively, P<0.05).
Hydrotubation under laparoscopy is a more accurate procedure in assessing tubal patency.