腹腔灌注_____超声输卵管显影；_腹腔灌注；

超声输卵管盆腔显影术在输卵管性不孕诊断中的应用

http://www.100md.com 《新疆医科大学学报》 2006年第2期

腹腔灌注,,超声输卵管显影；,腹腔灌注；,不孕症,1资料与方法,2结果,3讨论,参考文献:

     摘要: 目的：探讨超声盆腔输卵管显影术在输卵管性不孕诊断中的临床意义。方法： 40例输卵管性不孕的患者采用超声输卵管盆腔显影术进行检查，经宫腔注水和腹腔灌注使腹盆腔积液后用阴道超声扫视盆腔,并与子宫输卵管碘油造影(HSG)结果相比较。结果：超声输卵管盆腔显影术检查40例中27条输卵管通畅，28条输卵管通而不畅，25条输卵管不通，54条输卵管伞端粘连；HSG检查28条输卵管通畅，33条输卵管通而不畅，19条输卵管不通，26条输卵管伞端粘连，超声输卵管盆腔显影术与HSG检查的总符合率为93.8%，检查通畅、梗阻、通而不畅、伞端粘连的符合率分别为96.4%、90.5%、84.8%、48.1%，2种方法的检出率差异无统计学意义(P>0.05)。结论：超声输卵管盆腔显影可初步了解输卵管通畅性、形态及与周围组织有无粘连，有助于不孕症的诊断。

    关键词: 超声输卵管显影；腹腔灌注；不孕症

    Study on clinical application of salpingosonography on the

    diagnosis of sapingian infertility

    ZHU Haiyan, CAI Xia, Mayire·Tuexun

    (Department of Reproductive Medicine, First Affiliated Hospital, Xinjiang Medical University,Urumqi 830054, China)

    Abstract: Objective: To development a method for the evaluation of tubal patency with trans vaginal ultrasonography (TVC). Methods: Scanning the pelvis with TVC, to compare with Hysterosalpingography (HSG) by two methods: intrauter hydrotubation and belly saline fillin. Results: With the method for the evaluation of tubal patency with TVC, 27 tubals were diagnosed as goingthrough fluently, 28 as goingthrough influently, 21 as obstruction, 54 fimbriae of oviduct were diagnosed as adhesion;With HSG, 28 tubals were diagnosed as goingthrough fluently, 33 as goingthrough influently, 19 as obstruction, 26 fimbriae of oviduct were diagnosed as adhesion. Its total correspondence rate was 93.8%. Its correspondence rate 96.4% and 90.5% at the two aspects of diagnosing goingtrough and obstruct. There was not difference between the evalauation of tubal patency at statistics (P>0.05). Conclusions: Salpingosonography is a primary way and it is simple and easy to conduct in the diagnosis of infertility. ......

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