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对不孕症病人必须探讨输卵管的通畅性和宫腔的形态学。过去多采用子宫输卵管造影(HSG),但自70年代后已可借助宫腔镜和腹腔镜进行检查,但HSG和内窥镜的检查结果往往不一致。因此对231例HSG中的143例,通过窥镜检查进行了对照分析,以重新估价HSG的准确性和安全性。病人年龄分布为18～44岁,平均为30.8岁。原发不孕症病人占64.9%,平均生育愿望为3.9年(1～11年)。继发不孕症病人占35.1%,平均生育愿望为3.2年(1～10年)。在进行HSG检查前,病人均经过全身检查,精液分析,性交后实验和子宫内膜活检。191例(83%)于排卵前,周期第13日进行HSG检查。术前静注杜冷丁25～50mg。再经Kahn管注入水溶性造影剂,同时在X光影屏上进
Infertility patients must explore tubal patency and uterine morphology. In the past, hysterosalpingography (HSG) was the most common procedure, but hysteroscopy and laparoscopy have been used since the 1970s, but HSG and endoscopy tend to be inconsistent. 143 of 231 HSGs were therefore analyzed by endoscopy for the purpose of reassessing the accuracy and safety of HSG. Patient age distribution of 18 to 44 years old, with an average of 30.8 years old. Primary infertility patients accounted for 64.9%, the average childbearing desire is 3.9 years (1 to 11 years). Secondary infertility patients accounted for 35.1%, the average childbearing desire is 3.2 years (1 to 10 years). Patients underwent HSG examinations, semen analysis, post-intercourse tests and endometrial biopsy. 191 cases (83%) before ovulation, cycle 13th HSG examination. Preoperative intravenous dolantin 25 ~ 50mg. Then Kahn tube into the water-soluble contrast agent, while advanced into the X-ray screen