不孕症患者子宫输卵管造影和腹腔镜检查的比较研究

IF 3.5 2区医学 Q1 OBSTETRICS & GYNECOLOGY

Acta Obstetricia et Gynecologica Scandinavica Pub Date : 2024-09-12 DOI:10.1111/j.1600-0412.1981.tb00027.x

Torben Philipsen, Birthe Baldur Hansen

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引用次数: 0

摘要

研究人员对连续 168 名病程至少两年的不孕症患者进行了子宫输卵管造影术（HSG）和腹腔镜检查的诊断准确性调查。57.7%的患者两种方法的结果一致。在 54 名 HSG 正常的患者中，有 16 人（29.6%）在腹腔镜检查中出现异常。在 114 名 HSG 异常的患者中，有 28 人（24.6%）的内生殖器在腹腔镜检查时完全正常。HSG和腹腔镜诊断之间最大的差异出现在输卵管周围粘连上。只有 2.4% 的患者通过 HSG 诊断出宫内畸形。腹腔镜手术的并发症很少，而且不严重。为了对不孕症中的输卵管因素进行最终评估，必须考虑完全放弃 HSG，转而采用腹腔镜检查。

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COMPARATIVE STUDY OF HYSTEROSALPINGOGRAPHY AND LAPAROSCOPY IN INFERTILE PATIENTS

The diagnostic accuracy of hysterosalpingography (HSG) and laparoscopy was investigated in 168 consecutive patients with infertility of at least 2 years' duration. There was agreement between the results of both methods in 57.7 per cent of the patients. Among 54 patients having normal HSG, 16 (29.6 per cent) exhibited abnormalities at laparoscopy. Among 114 patients with abnormal HSG, 28 (24.6 per cent) had entirely normal internal genitalia at laparos‐copy. The greatest discrepancy between the HSG and laparoscopic diagnoses was found in peritubal adhesions. Intrauterine abnormalities were diagnosed by HSG in only 2.4 per cent of the patients. Complications of laparoscopy were few and non was serious. For a conclusive evaluation of the tubal factor in infertility, one must consider abandoning HSG entirely in favor of laparoscopy.

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来源期刊

Acta Obstetricia et Gynecologica Scandinavica 医学-妇产科学

CiteScore

8.00

自引率

4.70%

发文量

180

审稿时长

3-6 weeks

期刊介绍： Published monthly, Acta Obstetricia et Gynecologica Scandinavica is an international journal dedicated to providing the very latest information on the results of both clinical, basic and translational research work related to all aspects of women’s health from around the globe. The journal regularly publishes commentaries, reviews, and original articles on a wide variety of topics including: gynecology, pregnancy, birth, female urology, gynecologic oncology, fertility and reproductive biology.