摘要
目的 应用99TcmO4-输卵管显像研究不孕症患者X线子宫输卵管造影（HSG）显示机械性通畅输卵管的功能受损程度,进而研究99TcmO4-输卵管显像对腹腔镜手术的价值.方法 对HSG显示至少一侧输卵管通畅或通而不畅的不孕症女性患者166例（通畅输卵管91条,通而不畅输卵管222条,单侧不通输卵管19条）行99TcmO4-输卵管显像.并对HSG显示通畅的91条输卵管进行99TcmO4-输卵管显像及腹腔镜对比分析.采用SPSS 17.0软件对HSG检查通畅输卵管99TcmO4-显像的输卵管功能损伤程度与腹腔镜检查的输卵管通畅性进行比较并行Χ2检验.结果 对HSG显示输卵管机械性通畅（包括通畅及通而不畅）的不孕症患者,99TcmO4-输卵管显像结果显示输卵管功能受损的阳性率为78.3%.对不孕症患者HSG检查显示通畅的输卵管,行99TcmO4-显像及腹腔镜结果比较,其差异有统计学意义（Χ2=27.56,P〈0.05）.其中,若腹腔镜显示通畅,则放射性核素99TcmO4-输卵管显像显示输卵管功能以正常及轻度受损为主;若腹腔镜显示通而不畅,则放射性核素99TcmO4-输卵管显像显示输卵管功能以中、重度受损及无功能为主.结论 放射性核素99TcmO4-输卵管显像对输卵管功能受损程度及通畅性的判断具有重要价值,对临床腹腔镜手术选择具有重要指导价值,尤其对HSG显示输卵管通畅的不孕症患者能否进行腹腔镜手术价值更大.
Objective To investigate the value of improved radionuclide imaging in the evaluation of fallopian patency by hysterosalpingography （HSG） and laparoscopy. Methods A total of 166 cases showed at least one side of tubal patency in HSG were considered in this study. Of these cases, 19 were unilaterally obstructed fallopian tubes, 222 were obstructed fallopian tubes, and 91 were unobstructed fallopian tubes. Radionuclide imaging was conducted, and the results were compared with laparoscopy results. Results Radionuclide imaging showed a damage rate of 78.3% in patients with unobstructed tubes in HSG. In the unobstructed fallopian tube group, radionuclide imaging and laparoscopic examination differed significantly（ Χ2 = 27.56, P〈0.005）. When the laparoscopic examination showed tubal patency, radionuclide oviduct imaging showed normal or mildly impaired fallopian tubes. When the laparoscopic examination showed poor tubal patency, radionuclide oviduct imaging showed moderately damaged,severely damaged, or nonfunctional tubes. Conclusions Radionuclide imaging of the fallopian tubes with different degrees of damage has great clinical value in evaluating the patency and extent of damage of fallopian tubes and is an efficient guide to the choice of laparoscopy, especially in patients with tubal patency in HSG.
出处
《国际放射医学核医学杂志》
2017年第6期379-384,共6页
International Journal of Radiation Medicine and Nuclear Medicine
基金
山东省人口和计划生育委员会科学技术研究项目（2013年第10号）
潍坊市科学技术发展计划项目（2013YD147）
