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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。
Objective: To investigate the clinical significance of ultrasound pelvic tubal imaging in the diagnosis of tubal infertility. Methods: Forty cases of tubal infertility were examined by ultrasound tubal pelvic imaging. The pelvic fluid was collected by intrauterine injection and peritoneal perfusion. The pelvic cavity was scanned by vaginal ultrasound. The results were compared with the results of HSG. Compare Results: Ultrasound tubal pelvic imaging in 27 cases of 40 tubal patency, 28 tubal obstruction, 25 tubal barrier, 54 tubal ulnar adhesions; HSG examination of 28 tubal patency, 33 tubal pass and poor , 19 tubal barrier, 26 tubal ulnar adhesions, ultrasound tubal pelvic imaging and HSG examination of the total coincidence rate of 93.8%, check the patency, obstruction, pass and poor, umbrella end of the adhesion rate was 96.4%, respectively, 90.5%, 84.8%, 48.1% respectively. There was no significant difference in the detection rates of the two methods (P> 0.05). Conclusion: Ultrasound tubal pelvic imaging can initially understand tubal patency, morphology and adhesions with the surrounding tissue, contribute to the diagnosis of infertility.