河北医科大学学报

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子宫输卵管造影术中输卵管通畅度的再认识

  

  1. 1.河北省石家庄市第四医院放射介入科,河北 石家庄 050011;2.河北省石家庄市第四医院妇科,河北 石家庄 050011
  • 出版日期:2017-08-25 发布日期:2017-08-09
  • 作者简介:郑国(1980-),男,河北定兴人,河北省石家庄市第四医院主治医师,医学学士,从事放射诊断及介入治疗研究。

Reunderstanding of fallopian tube patency degree in hysterosalpingography#br#

  1. 1.Departemnt of Interventional Radiology, the Four Hospital of Shijiazhuang, Hebei Province,
    Shijiazhuang 050011, China; 2.Departemnt of Gynaecology, the Four Hospital of
    Shijiazhuang, Hebei Province, Shijiazhuang 050011, China
  • Online:2017-08-25 Published:2017-08-09

摘要: [摘要]〓
〖HTH〗目的〖HTSS〗〖KG*2〗细化输卵管造影术中输卵管通畅度的分级,探讨输卵管通畅度对不孕的影响。
〖HTH〗方法〖HTSS〗〖KG*2〗针对93例不孕症患者的输卵管造影,拟定输卵管通畅度分级量化标准(以下简称试验标准),研究不同医生之间或医生自身前后诊断结果的一致性,以评价此分级标准。另外,观察子宫输卵管充盈15 min后延时摄片(以下简称延时期)中的输卵管内造影剂滞留征象,与子宫输卵管充盈期(以下简称充盈期)比较,探讨输卵管通畅度类型。
〖HTH〗结果〖HTSS〗〖KG*2〗根据输卵管形态和术者观察到的造影剂流速等主观指标(以下简称原标准)诊断输卵管通畅度,无论医生间还是医生自身前后,诊断一致性较差;以试验标准诊断输卵管通畅度,不同医生间比较Kappa值为1.000;有无延时期输卵管造影剂滞留的2组资料比较,其输卵管的通畅度无明显差异。
〖HTH〗结论〖HTSS〗〖KG*2〗输卵管通畅度可分为通畅、通而不畅、微通和闭塞4个等级以及机械性通畅度和功能性通畅度2种类型;其形态与功能之间的内在关联是进一步研究的重点。

关键词: 子宫输卵管造影术, 不孕, 输卵管通畅度

Abstract: [Abstract] Objective〖HTSS〗〓To refine the classification of the patency degree of fallopian tube on hysterosalpingography and to explore the types of the patency degree, because that the patency degree of fallopian tube is the important influence factor in infertility.
〖HTH〗〖WTHZ〗Methods〖HTSS〗〓We analyzed 93 cases of infertility patients, drew up the hierarchical quantification standard of patency degree in fallopian tube (hereinafter referred to as test standard) and studied the consistency of different doctors or former and later diagnosis results of the doctor to evaluate the classification standard. In addition, we also observed the retention sign of contractmedium in fallopian tube on delayed photography after 15 minutes(hereinafter referred to as delayed period). Compared with filing period of fallopian tube and uterus(hereinafter referred to as filling period), the author explored the types of patency degree in fallopian tube.
〖HTH〗〖WTHZ〗Results〖HTSS〗〓The patency of fallopian tube was diagnosed according to the morphology of fallopian tube and the subjective indexes such as the contrast agent flow rate observed by the operator(hereinafter referred to as the original standard). The diagnosis is poorly consistent, whether between the doctor or the doctor themselves. The patency of fallopian tube was measured by standard test, and the Kappa value was 1.000 among different doctors. There were no significant differences in the patency of fallopian tubes between the two groups during the prolonged period.
〖HTH〗〖WTHZ〗Conclusion〖HTSS〗〓The patency degree in fallopian tube can be divided into four grades: patency, patency but not free, tiny patency and occlusion. The patency degree in fallopian tube can be divided into two types, mechanical patency degree and functional patency degree. The internal relation between form and function is the key point for further study.

Key words: hysterosalpingography, infertility, fallopian tube patency degree