132例不孕症子宫输卵管造影结果回顾性分析.pdfVIP

7 · 953· · 生殖健康 · 132例不孕症子宫输卵管造影结果回顾性分析 廖爱华 周 慧 朱继望 姚 念 华中科技大学同济医学院生殖医学中心(湖北 武汉) 430030 中国图书分类号 R711．6 文献标识码 B 文章编号 1001-4411(2O08)07-0953-03 【摘 要】 目的：探讨子宫输卵管造影术 (HSG)在不孕症中的诊断价值。方法：收集132例不孕症患者子宫输卵管造影 及其临床资料进行回顾性分析。结果：子宫性不孕占19．70％，输卵管性不孕占52．45％。264支输卵管中通畅 129支 (48．86％)，不完全梗阻67支 (25．38％)，完全梗阻68支 (25．76％)。HSG 24 h后盆腔造影剂弥散情况显示，盆腔见大量均匀 弥散造影剂21例 (15．91％)，部分不均匀弥散造影剂44例 (33．33％)，未见造影剂20例 (15．15％)，盆腔见弥散造影剂且输 卵管内有造影剂残留22例 (16．67％)，盆腔见少许造影剂、输卵管内无造影剂残留17例 (12．88％)，盆腔造影剂呈团块状聚 集无弥散性造影剂8例 (6．06％)。结论：子宫输卵管造影能显示子宫腔和输卵管的全部形态，可精确判断官腔内和输卵管腔内 的病变及通畅情况，是诊断女性不孕症必不可少的方法。 【关键词】 子宫输卵管造影术 不孕症 诊断价值 Retrospective analysis of hysterosalpingography in 1 32 infertile cases LIAO Ai—Hua，ZHOU Hui，ZHU Ji—Wang et a1．Center of Reproductive Medicine，Tongfi Medical College。Hua— zhong University ofScience and Technology，Wuhan 430o30，China [Abstract] Objective：To investigate the value of hysterosalpingography(HSG)in the diagnosis of infertility．Methods：Hystere- salpingographie and clinical materials of 132 cases with infertility were collected and analyzed retrospectively．Results：Among 132 eases， abnormal findings of uterus and fallopian tubes resulting in infertility were 1 9．7％ and 52．45％ respectively．Of 264 fallopian tubes．com· plete pateney waft seen in 129 tubes(48．86％)，partial obstruction in 67 tubes(25．38％)，complete obstruction in 68 tubes(25．76％) 24 h later after hysterosalpingography，the X—ray signs were indicated as following：l~rge quantities of completely dispersed contrast medi— ． unl were seen in pelvic cavity in 21 cases(15．91％)，partially un—dispersed contrast medium in 44 cases(33．33％)，no contrast medi— um in 20 CaseS(15．15％)．There existed dispersed contrast medium in pelvic cavity and remanet ofcontrast medium in fallopian tubes a— mong 22 cas