摘要
目的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。方法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。结果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)。结论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。
Objective To compare the diagnostic value of hydrotubation under laparoscopy and hysterosalpingography（HSG） for tubal patency assessment. Methods 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. Results 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）. Conclusion Hydrotubation under laparoscopy is a more accurate procedure in assessing tubal patency.
出处
《中华妇幼临床医学杂志（电子版）》
CAS
2008年第3期30-32,共3页
Chinese Journal of Obstetrics & Gynecology and Pediatrics(Electronic Edition)
