宫腔镜下输卵管口插管通液术在不孕症诊治中的应用-《中国微创外科杂志》

文章信息/Info

Title:: The application of fluid infusion of fallopian tubes under hysteroscope in diagnosis and therapy of infertility

Author(s):: Yand Shuhua; Li Jian; Chai Dongning,Xiamen Maternity and ChildHealth Institute,Xiamen361003,China.

摘要:: 目的探讨宫腔镜下输卵管口插管通液术诊断不孕症妇女输卵管通畅性的效果. 方法采用Olympus公司生产的硬镜系列,对106例不孕症,行宫腔镜下输卵管口插管通液术. 结果 106例中输卵管双侧通畅的占21.7%(23/106),双侧不通的占33%(35/106),双侧通而不畅的占13.2%(14/106).发现宫腔异常28例,占26.4%(28/106),其中双侧不通22例行腹腔镜检查,其符合率为100%. 结论宫腔镜下输卵管口插管通液其全过程均在直视下进行,安全、可靠、诊断率高.

Abstract:: Objective　To evaluate the results of diagnosing the fallopian tube’s patency of patients with infertility by fluid infusion of fallopian tubes under hysteroscope.　Methods　106 cases of infertility underwent fluid infusion of fallo- pian tubes under hysteroscope.　Results　Out of 106 cases both sides of unobstructed fallopian tubes were 21.7%(23/ 106). Neither side of free fallopian tubes was 33%(35/106). Both sides of partial obstructed fallopian tubes were 13.2% (14/106). Abnormal uterine cavitywas found in 28 cases ( 26.4%,28/106). 22 caseswho had neither side of free fallopi- an tubes were determined by laparoscope, and the coincident rate was 100%.　Conclusions　Fluid infusion of fallopian tubes under hysteroscope is safe, credible and higher accuracy.

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