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目的比较彩超与子宫输卵管造影(hysterosalpingography,HSG)对输卵管积水的诊断价值,提高诊断正确率。方法选择2011年1—12月因不孕症就诊且经手术或病理证实为输卵管积水的患者109例,积水输卵管共198条,所有患者均进行彩超及HSG检查,对其影像资料进行回顾性分析。结果彩超诊断结果:轻度积水21条,阳性率24.7%,中度积水61条,阳性率83.6%,重度积水39条,阳性率97.5%;HSG诊断结果:轻度积水80条,阳性率94.1%,中度积水67条,阳性率91.8%,重度积水37条,阳性率92.5%。轻度输卵管积水HSG诊断阳性率高于彩超,中度、重度输卵管积水诊断阳性率两种方法差别不大,总的诊断阳性率HSG高于彩超。结论建议彩超做为诊断输卵管积水的筛查方法,HSG做为诊断输卵管积水的常规检查方法,两者互补应用,必要时结合其他检查,可提高诊断阳性率。
Objective To compare the diagnostic value of color Doppler ultrasonography and hysterosalpingography (HSG) on hydrosalpinx and improve the diagnostic accuracy. Methods From January to December 2011, 109 cases of tubal hydrops due to infertility, surgically or pathologically confirmed pathological evidence, 198 cases of hydrothorax and tubal tubal tubal disease were collected. All patients underwent color Doppler ultrasound and HSG examinations, and their imaging data were reviewed Sexual analysis. The results of color Doppler ultrasound diagnosis: 21 mild water, the positive rate of 24.7%, 61 moderate water, the positive rate of 83.6%, 39 severe hydrothorax, the positive rate of 97.5%; HSG diagnostic results: 80 mild water , Positive rate 94.1%, moderate water 67, positive rate 91.8%, severe hydrothorax 37, the positive rate of 92.5%. The positive rate of HSG diagnosis of mild hydrothorax was higher than that of color Doppler ultrasound, moderate and severe hydronephrosis diagnosis of positive rate of the two methods is not very different, the overall diagnostic positive rate HSG higher than the color Doppler ultrasound. Conclusions It is suggested that color Doppler ultrasonography should be used as a diagnostic method to diagnose tubal hydrops. HSG should be used as a routine method to diagnose tubal hydrops. Both of them should be used in combination with each other. When necessary, combined with other tests, HSG can increase the diagnostic positive rate.