【摘要】 目的　探讨结晶氧阴道B超下子宫输卵管造影为输卵管通畅性的检查方法。方法　 2 85例不孕患者随机分为超声晶氧造影组 (n =16 5 )和X线碘油造影组 (n =12 0 ) ,对比两种方法对输卵管通畅性的检查效果 ,并采用腹腔镜下输卵管通染液试验作检验。结果　超声晶氧子宫输卵管造影与X线子宫输卵管碘油造影 ,准确率无显著差异 (P >0 0 5 ) ,超声晶氧造影组无过敏 ,X线碘油造影组 12例过敏 ,有显著性差异 (P <0 0 5 )。超声晶氧造影术后 1～ 2个月受孕 12例 ,妊娠率7 3% ,X线碘油造影术后 1～ 2个月受孕 1例 ,妊娠率 0 8% ,有显著性差异 (P <0 0 5 )。结论　超声晶氧造影法对输卵管显影清晰和诊断准确 ,且造影过程还起到一定的治疗作用 ,安全性高 ,可作为不孕症患者输卵管通畅性检查的一种有效方法。更多还原

【Abstract】 Objective: To evaluate the diagnosis of fallopian tube patency by using hysterosalpingocontrast sonography (HyCoSy) with CPP and transvaginal ultrasound for infertile women. Methods: 285 infertile women were divided into the HyCoSy-CPP group (n=165), and the x-ray hysterosalpingography (HSG) group (n=120), and were respectively exarmined by these two methods. The laparoscopy with hydrotubation was also used to evaluate the efficacy of the two methods. Results: There was no difference on diagnostic rates of fallopian tube obstruction between these two groups (P>0 05). Sensitive reaction was observed in 12 cases in the HSG group, while negative in the HyCoSy-CPP group. After the HSCS-CPP examination 1-2 months,12 women became pregnant, while in the HSG group only one was pregnant. There was a significant difference on pregnancy rates between these two groups (P<0 05). Conclusion: The HyCoSy-CPP method would be an effective diagnosis in the evaluation of fallopian tube pathology for infertile women, and this method is a safety one.更多还原