子宫输卵管造影与腹腔镜探查在诊断女性不孕症病因中作用.docVIP

子宫输卵管造影与腹腔镜探查在诊断女性不孕症病因中作用 　　【摘要】 目的 探讨子宫输卵管造影和腹腔镜探查在诊断不孕症病因中的作用。方法 对238例不孕症女性患者行子宫输卵管造影。82例患者HSG后行腹腔镜探查。结果 238例患者子宫输卵管造影发现子宫腔输卵管正常者136例,异常显影者102(42.85%)例。82例行腹腔镜探查患者中与造影结果符合者67(81.70%)例,经腹腔镜手术复通后,术中通液发现有49例一侧或两侧输卵管恢复通畅。结论 子宫输卵管造影术是一种简单实用的了解子宫输卵管病变的方法,但对于输卵管周围病变诊断不如腹腔镜探查。两种方法可以互为补充。 　　【关键词】子宫输卵管造影;腹腔镜;不孕症 　　 　　Value of hysterosalpingographyand laparoscopic examination in diagnosing etiopathogenisis of female infertility 　　 　　SHI Shao-quan,WEN Xing-hua,WANG Jian-ying,et al.Department of Gynecology and Obstetrics,The fifth affiliated hospital of Sun Yat-sen university,GuangdongZhuhai 519000 　　 　　【Abstract】 Objective To study value of hysterosalpingographyand laparoscopic examination in diagnosingetiopathogenisis of female infertility.Methods HSG was performed in 238 infertile women.Laparoscopic examination was carried out in 82 patients after HSG.Results Normal findings of HSG examination were noted in 136 women;tube occlusion and peritubal adhesion in 102(42.85%)patients.In 82 patients who underwent laparoscopic examination,HSG and laparoscopic findings were in agreement in 67 women(81.70%).In 49patients,after laparoscopic corrective surgery,unilateral or bilateral fallopian tubes regained tubal patency as revealed by laparoscopic hydrotubation.Conclusion HSG is a simple and useful method for assesses uterine and fallopian tube patency,but HSG is inferior in relation to laparoscopy in the examination of peritubal adhesion.HSG and laparoscopy are the complementary methods in diagnosing female infertility. 　　【Key words】Hysterosalpingography; Laparoscope; Infertility 　　 　　作者单位:519000珠海,中山大学附属第五医院妇产科 　　 　　 　　受孕是一个复杂的生理过程,生殖道的通畅是精子和卵子结合形成受精卵的必要条件。输卵管病变是不孕症最常见的原因。子宫输卵管造影术(hystero-salpingography,HSG)和腹腔镜探查是最常用的诊断输卵管病变的手段。为探讨输卵??造影和腹腔镜探查术在诊断不孕症病因中的作用,现对238例女性不孕患者行HSG,其中82例患者造影后行腹腔镜探查,观察盆腔病变情况,报告如下。 　　1 资料与方法 　　1.1 一般资料 选择2006年10月至2009年8月我院门诊行子宫输卵管造影的女性患者238例,均为同居一年以上,未采取避孕措施的22~39岁育龄妇女,月经规律,无排卵障碍,生殖器发育正常,无生殖道急性炎症。 　　1.2 子宫输卵管造影 患者月经干净后3~7 d,无急性宫颈炎、阴道炎等造影禁忌证