[1]张丽,刘效群＊＊,李国正,等.不同子宫输卵管造影结果对选择宫腔镜-注水腹腔镜的意义[J].中国微创外科杂志,2013,13(6):503-505.
　Zhang Li,Liu Xiaoqun,Li Guozheng,et al.The Significance of Application of Hysteroscopy and Transvaginal Hydrolaparoscopy after Hysterosalpingography[J].Chinese Journal of Minimally Invasive Surgery,2013,13(6):503-505.
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不同子宫输卵管造影结果对选择宫腔镜-注水腹腔镜的意义()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
13
期数:
2013年6期
页码:
503-505
栏目:
出版日期:
2013-06-20

文章信息/Info

Title:
The Significance of Application of Hysteroscopy and Transvaginal Hydrolaparoscopy after Hysterosalpingography
作者:
张丽; 刘效群＊＊; 李国正; 杜丽荣; 吕丽华; 张亦心; 高羽; 田慧艳
河北省计划生育科学技术研究院生殖中心，石家庄050071
Author(s):
Zhang Li;  Liu Xiaoqun;  Li Guozheng;  et al.
Reproductive Center of Hebei Family Planning Institute, Shijiazhuang 050071, China
关键词:
经阴道注水腹腔镜; 宫腔镜; 子宫输卵管造影术
Keywords:
Transvaginal; Hydrolaparoscopy; Hysteroscopy; Hysterosalpingography
分类号:
R711.760.4
文献标志码:
A
摘要:
目的探讨不同子宫输卵管造影（hysterosalpingography,HSG）结果后行宫腔镜联合经阴道注水腹腔镜（hysteroscopy and transvaginal hydrolaparoscopy，HysTHL）检查的意义。方法回顾性研究2009年4月~2011年12月HSG提示不同程度输卵管和子宫异常而接受HysTHL检查的364例不孕患者（共693条输卵管）的临床资料，比较2种检查方法的符合情况。结果以HysTHL为金标准，HSG对子宫形态诊断的敏感性和特异性分别为100.0%(13/13)，99.4%(349/351)。对输卵管通畅、间质部阻塞和积水诊断的敏感性分别为67.0%(390/582)、68.1%(49/72)和53.8%(21/39)；特异性分别为72.0%（80/111）、69.4%(431/621)和98.2%(642/654)。结论对于HSG提示输卵管间质部阻塞的患者，IVF并非首选的助孕方式，HysTHL可能为更好的选择。但对HSG提示有输卵管积水的患者，并不推荐进一步采取HysTHL检查。
Abstract:
ObjectiveTo discuss the significance of the application of hysteroscopy and transvaginal hydrolaparoscopy (HysTHL) after hysterosalpingography (HSG) .MethodsA retrospective study was carried out among 364 infertile patients with 693 fallopian tubes. All the 364 patients received HSG examination in our institute from April 2009 to December 2011 due to various abnormal uterus and fallopian tube indicated by HSG. Two examination methods were compared. ResultsWith HysTHL as the gold standard, the sensitivity and specificity of HSG in the diagnosis of uterine morphology were 100.0% (13/13), and 99.4% (349/351) respectively. The sensitivity in the diagnosis of the patent fallopian tube, tube of interstitial obstruction and the hydrosalpin, were 67.0% (390/582), 68.1% (49/72) and 53.8% (21/39) respectively, and the specificity were 72.0% (80/111), 69.4% (431/621) and 98.2% (642/654) respectivety.ConclusionsCompared with IVF, hysTHL is abetter choice for the patients with tubal interstitial obstruction indicated by HSG. However, to the patients with hydrosalpinx, hysTHL is not recommended.

参考文献/References:

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[3]张海燕，夏恩兰，胡小良.经阴道注水腹腔镜诊治输卵管性不孕50例分析.中国内镜杂志,2009,15(11):1140-1143.
[4]张丽,刘效群,李国正,等.经阴道注水腹腔镜联合宫腔镜在不孕症诊治中的应用.生殖医学杂志,2012,21(4):350-353.
[5]Zimmer M,Milnerowicz NE,Rosner TA,et al.Transvaginal hydrolaparoscopy for diagnosis of tubal infertility.Neuro Endocrinol Lett,2011,32(5):722-726.
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备注/Memo

备注/Memo:
＊基金项目：2009年河北省人口与计划生育委员会课题（2009-B08）,＊＊通讯作者，Email:xiaoyuxq86@yahoo.com.cn
更新日期/Last Update: 2014-01-08