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目的探讨子宫输卵管造影(HSG)及腹腔镜诊断继发性不孕症的价值。方法对105例女性不孕症患者205条输卵管的HSG及腹腔镜检查果进行分析。结果在诊断通畅度中,两种方法符合率为71.64%,在诊断不通畅中,两种方法符合率为91.30%。HSG确定有一侧或双侧盆腔组织粘连的有54例,未明确有盆腔组织疾病的有51例。腹腔镜确认的47例存在盆腔组织粘连患者。结论 HSG在判定输卵管管腔及宫腔情况优于腹腔镜检查,腹腔镜检查发现影响生育的其他盆腔疾病及粘连优于HSG。HSG是诊断输卵管因素不孕症的安全、简便、可靠的方法,而腹腔镜联合HSG术可以增加诊断的准确性。
Objective To investigate the value of hysterosalpingography (HSG) and laparoscopy in the diagnosis of secondary infertility. Methods The results of HSG and laparoscopy in 205 tubal infertility patients from 105 female infertility patients were analyzed. Results In the diagnosis of patency, the coincidence rate of the two methods was 71.64%. In the unobstructed diagnosis, the coincidence rate of the two methods was 91.30%. Fifty-four patients with HSG had pelvic adhesions on one or both sides, and 51 patients had no definite pelvic disease. Laparoscopy in 47 cases of pelvic adhesions exist. Conclusions HSG is better than laparoscopy in determining tubal cavity and uterine cavity. Laparoscopy is superior to HSG in other pelvic diseases and adhesions that affect fertility. HSG is a safe, simple and reliable method to diagnose infertility due to tubal factors, and laparoscopy combined with HSG can increase the diagnostic accuracy.