关键词: 放射摄影术, 腹腔镜, 输卵管, 不孕症

Abstract:

Objective: To investigate the consistency of diagnosis for the grading of fallopian tube by imageology and laparoscopy.
Methods: 109 infertile cases that underwent the Hysterosalpingography （HSG）and laparoscopy orderly from January 2005 to June 2008 were analyzed retrospectively. Their tubes were classified into five grades with imageology according to the shapes of salpingian obstruction, the stagnation of lipiodo in salpingian , the information of diffusion by lipiodol entering into pelvic cavity through salpingian, and the degree of the oviduct was classified into four grades with laparoscopy also, according to the degree of the oviduct patency, the macroscopic aspect of endosalpinx, the thickness of the tubal wall, the nature and extent of adhesions and other complications. The higher the grade was, the worse the lesion of salpingian was. The correlation of two types of grading with imageology and laparoscopy was analyzed. Results: Of the 211 cases diagnosed as occlusion tubes by HSG, 85 were classified into the low grade and 126 cases were into high grade. All of them were confirmed by laparoscopy, and of the low grade of laparoscopy
were 95, while of the high grade were 116. There was almost coincidence of diagnosis for the grading of fallopian by imageology and laparoscopy （the left Kappa = 0.923, the right Kappa = 0.884, P<0.05）. 10 of 211 cases were diagnosed as proximate occlusion by HSG, but these cases were diagnosed proximate normal. Conclusion: The grading of fallopian tube by HSG can be used as the first step to diagnose the tube occlusion precisely, especially to diagnose the proximate occlusion and inner wall of tubal lesion ,and can help doctors to offer the right treatment for infertility.

Key words: radiography, laparoscopy, fallopian, infertility