王洁

【摘 要】 目的：探讨超声引导下输卵管通液造影诊治育龄期女性不孕症的临床价值。方法：将本院2017年3月至2018年3月收治的30例原发性不孕妇女和30例继发性不孕妇女分作A组与B组，分析两组妇女在接受超声引导下输卵管通液造影诊治的治疗效果和受孕情况。结果：A组30例原发性不孕妇女在治疗后其输卵管的通畅率由原来的43.33%提高到86.67%，B组30例继发性不孕妇女在治疗后其输卵管通畅率由原来的33.33%提高到80.00%，P<0.05，差异具有统计学意义。A组原发性30例不孕妇女在治疗后的总受孕率为93.33%，B组30例继发性不孕妇女在治疗后的总受孕率为90.00%，两组妇女在治疗后的受孕情况无明显差异（P>0.05），差异无统计学意义。结论：超声引导下输卵管通液造影诊治育龄期女性的不孕症具有显著的效果，在临床上具有较好的推广和应用价值。

【关键词】 超声引导，输卵管通液造影;不孕症;临床价值

[Abstract] Objective：To investigate the clinical value of ultrasound-guided salpingography in the diagnosis and treatment of infertility in women of childbearing age. Methods： 30 cases of primary infertility and 30 cases of secondary infertility in our hospital from March 2017 to March 2018 were divided into group A and group B. The therapeutic effect and pregnancy status of the two groups were analyzed. Results： The tubal patency rate of group A was increased from 43.33% to 86.67% in 30 cases of primary infertility after treatment， and that of group B was increased from 33.33% to 80.00% in 30 cases of secondary infertility after treatment （P<0.05）. The total pregnancy rate of primary 30 infertile women was 93.33% in group A and 90.00% in group B. There was no significant difference between the two groups （P>0.05）. Conclusion： Ultrasound-guided salpingography in the diagnosis and treatment of infertility in women of childbearing age has a significant effect， it is worthy of widespread promotion and application in clinical practice.

[Key words]Ultrasound guided; Tubal fluid contrast imaging; Infertility; Clinical value

对患有不孕症妇女的治疗一直以来备受未孕女性的关注，影响妇女不孕的因素有很多，比如输卵管和排卵管受到阻碍等[1]。据相关资料显示，因输卵管受到阻碍造成妇女不孕在妇女不孕因素中大约占30%[2]。因此对不孕妇女输卵管的检查十分有必要，本文作者对本院在2017年3月至2018年3月收治的30例原发性不孕妇女和30例继发性不孕妇女在超声引导下输卵管通液造影治疗后的输卵管通畅程度与受孕情况进行详细分析，并对超声引导下输卵管通液造影诊治育龄期女性不孕症的临床价值进行探讨，具体报告如下。

1 资料与方法

1.1 临床资料

将本院2017年3月至2018年3月收治的30例原发性不孕妇女和30例继发性不孕妇女分作A组与B组。其中，A组30例不孕妇女年龄22～35岁，平均年龄（25.53±7.28）岁，不孕时间1～4年。……