中山大学学报（医学科学版）2011，Vol.32Issue(1)：81-84,4.
子宫输卵管碘油造影在诊断输卵管性不孕中的研究
Value of Hysterosalpingography in Diagnosis of Fallopian Tube Pathology among Infertile Women
摘要
Abstract
[Objective]To evaluate the diagnostic accuracy of hysterosalpingography (HSG) in the diagnosis of fallopian tube pathology among infertile women. [ Methods ] A total of 288 infertile women were examined by HSG before they underwent laparoscopy.Tube pathology detected at HSG was compared with pathology detected at laparoscopy. Sensitivity, specificity, and Youden index of HSG in the diagnosis of tube pathology were calculated, regarding laparoscopy as the reference standard. [ Results]The sensitivity of 94.69％ and specificity of 41.96％ for HSG while evaluating general tubal patency was determined. The sensitivity and specificity of HSG in diagnosis of proximal tubal occlusion were 92.60％ and 74.71％. The sensitivity and specificity of HSG in diagnosis of hydrosalpinx were 82.18％ and 91.98％. As a test of peritubal adhesions, hysterosalpingography had sensitivity of 23.07％ and specificity of 75.54％, respectively. When definition of tubal occlusion was limited to two-sided, the sensitivity and specificity were 60.66％ and 82.83％, respectively. [Conclusion] The diagnostic value of hysternsalpingography in the diagnosis of peritubal adhesions is poor. Hysterosalpingography is more accurate in the diagnosis of tubal occlusion and hydrosalpinx.关键词
女性不孕/输卵管阻塞/子宫输卵管碘油造影/腹腔镜检查分类
医药卫生引用本文复制引用
陈冬梅,谢梅青,李春花..子宫输卵管碘油造影在诊断输卵管性不孕中的研究[J].中山大学学报（医学科学版）,2011,32(1):81-84,4.基金项目
广东省科技计划项目(2007B020700003) （2007B020700003）
