子宫输卵管碘油造影与宫腹腔镜联合手术诊断输卵管性不孕症优势分析.doc

子宫输卵管碘油造影与宫腹腔镜联合手术诊断输卵管性不孕症优势分析 　　[摘要] 目的 探讨输卵管性不孕症患者行子宫输卵管碘油造影方案（HSG）及宫腹腔镜联合手术的价值。方法 随机选取2012年2月―2015年12月间该院诊断的输卵管性不孕症患者80例，先后实施HSG检查及宫腹腔镜联合手术，将宫腹腔镜检查结果认作该次研究金标准，对2种检查结果进行记录及回顾性分析。结果 ①HSG检查在诊断输卵管通畅度方面准确性75.00%（120/160），其特异度是72.73%（40/55），敏感性是76.19%（80/105），两组比较，差异有统计学意义（P0.05）。②HSG检查在诊断输卵管周围粘连方面的准确性33.75%（54/160），其特异度是91.80%（28/31），敏感性是8.20%（3/31），两组比较，差异有统计学意义（P0.05）。结论 对于出现输卵管性不孕症患者，实施宫腹腔镜方联合检查措施效果突出，对于诊疗方案的制定均有指导作用，可推广。 　　[?P键词] 妇产科；输卵管性不孕症；子宫输卵管碘油造影；宫腹腔镜检查 　　[中图分类号] R711 [文献标识码] A [文章编号] 1674-0742（2017）11（c）-0093-03 　　[Abstract] Objective This paper tries to explore the value of the operation of uterine oviduct iodine oil contrast （HSG） and uterine laparoscopy combined with oviduct infertility. Methods 80 cases of oviduct infertility patients from Feburary 2012 to December 2015 in this hospital were randomly selected， successively implemented HSG joint surgery， laparoscopic examination and took teh laparoscopy results as the gold standard in the present study， the two examination results were recorded and analyzed retrospectively. Results ①The accuracy of HSG examination was 75.00% （120/160） in the diagnosis of oviduct ventilation， and its specificity was 72.73% （40/55）， and the sensitivity was 76.19% （80/105）， compared with the two groups （P0.05）. ②The accuracy of HSG was 33.75%（54/160）， and its specificity was 91.80%（28/31）， and the sensitivity was 8.20% （3/31）， compared with the two groups the difference was statistically significant（P0.05）. Conclusion For patients with oviduct infertility， the combination of laparoscopy and hysteroscopy is effective， which provides reference for the treatment plan and can be promoted. 　　[Key words] Obstetrics and gynecology； Oviduct infertility； The uterine oviduct iodine oil contrast scheme； Laparoscopy 　　当输卵管性不孕症患者接受检查时，实施腹腔镜方案+宫腔镜方案联合检查措施可对患者输卵管组织的通畅度有效判断，通过明确患者的疾病状况，再指导妇产科医师制定治疗方案，进而确保输卵管性不孕症患者疾病预后水平的升高[1]。为评价腹腔镜方案+宫腔镜方案联合检查措施应用于输卵管性不孕症患者中的价值，通过随机抽取80例于2012年2月―2015年12月间进入该院接受诊断的输卵管性不孕症患者，期待提升其疾病诊断效果，从而确保诊疗方案的有序、科