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目的:研究子宫输卵管造影(Hysterosalpingography,HSG)诊断子宫发育异常的临床价值。方法:回顾性对比分析2008年1月～2010年6月在南方医院和广东省妇幼保健院两院HSG诊断144例子宫发育异常者经开腹手术及宫腔镜和腹腔镜联合诊断和治疗的结果。结果:HSG发现双子宫19例,双角子宫17例,鞍状子宫2例,中隔子宫86例,单角子宫20例,共计子宫发育异常144例。HSG诊断的准确率为83.33%(120/144),误诊率为16.67%(24/144),其中对中隔子宫、双角子宫、双子宫和单角子宫误诊率较高。结论:HSG可以作为诊断子宫发育异常的首选方法,但对发育异常的诊断最好结合其他检查手段以提高诊断的准确性。
Objective: To study the clinical value of Hysterosalpingography (HSG) in diagnosis of uterine dysplasia. Methods: A retrospective comparative analysis of HSG diagnosis of 144 cases of uterine abnormalities in both Nanfang Hospital and Guangdong Provincial Maternal and Child Health Hospital from January 2008 to June 2010 was performed by laparotomy and combined hysteroscopy and laparoscopy result. Results: There were 19 cases of double uterus, 17 cases of double horns, 2 cases of saddle uterus, 86 cases of septal uterus, 20 cases of single horn uterus, 144 cases of uterine abnormalities. The diagnostic accuracy rate of HSG was 83.33% (120/144) and the misdiagnosis rate was 16.67% (24/144). The misdiagnosis rate of the uterus, double horns, double uterus and unicorn uterus were higher. Conclusion: HSG can be used as the first choice to diagnose uterine dysplasia. However, the diagnosis of dysplasia should be combined with other methods to improve the diagnostic accuracy.