子宫输卵管碘油造影在新疆维、汉两民族不孕症原因初步分析中的应用

外力江·伊力哈尔，姚娟，李白艳

（新疆医科大学第一附属医院影像中心，新疆 乌鲁木齐，830054）

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摘要：

目的 通过子宫输卵管碘油造影探讨分析新疆维、汉两民族女性不孕症发病的原因。方法 对2 462 例原发或继发性不孕症患者行子宫输卵管碘油造影，对比维、汉两民族不孕症的原因。结果 2462例患者中，子宫输卵管形态正常，且输卵管通 畅者1199 例（48.70%）；双侧输卵管梗阻、积水或粘连239 例（9.71%）；单侧输卵管梗阻积水或粘连762 例（30.95%）；子宫畸形137例（5.56%）；宫输卵管结核125例（5.08%）。维、汉两民族子宫输卵管结核发病率比较，差异有统计学意义（P<0.05），其他方面未见明显差异。结论 维、汉两民族女性不孕症发病原因差异主要体现在子宫输卵管结核方面，而子宫输卵管碘油造影在女性不孕症的诊治中可以广泛应用。

关键词：不孕症；子宫输卵管碘油造影；维汉民族

中图分类号：R711.6文献标志码：A文章编号：2096-1413(2017)12-0029-02

Preliminary analysis on the causes of infertility between Uyger and Han patients with hysterosalpingography in Xinjiang
WAI LI JIANG Yilihaer, YAO Juan, LI Bai-yan
(Imaging Center, the First Affiliated Hospital of Xinjiang Medical University, Urumqi 830054, China)

ABSTRACT: Objective To investigate and analyze the causes of infertility between Uyger and Han patients through hysterosalpingography. Methods A total of 2 462 primary and secondary infertility patients were given hysterosalpingography, the causes of infertility between Uyger and Han patients were compared. Results The uterine tube morphology of the 2 462 patients were normal, 1 199 cases (48.70% ) with tubal patency, 239 cases with bilateral fallopian tube obstruction, hydrosalpinx or adhesion, 762 cases (30.95%) with unilateral tubal hydrosalpinx or adhesion, 137 cases (5.56%) with uterine malformation, 125 cases (5.08%) with uterine tubal tuberculosis. There was significant difference on the incidence rate of uterine tubal tuberculosis between Uyger and Han patients (P<0.05), and there was no significant difference on other indexes. Conclusion The incidence rate of fertility between Uyger and Han mainly reflected on uterine tubal tuberculosis, the hysterosalpingography can be widely used in the diagnosis and treatment of patients with fertility.
KEYWORDS: fertility; hysterosalpingography; Uyger and Han

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