Hysteroscopic treatment of 302 cases of secondary infertility with bilateral tubal.docVIP

 PAGE \* MERGEFORMAT 6 Hysteroscopic treatment of 302 cases of secondary infertility with bilateral tubal Author: Gong Qiu Qin, Dong Guizhen, ping, GUO Bao-Xue [Keywords:] Hysteroscopy [Keywords:] Hysteroscopy; tubal; infertility; intubation treatment An object and method 1.1 Object 200101/200501 me to hospital for treatment in patients with secondary infertility due to fallopian tube unreasonable 302 cases, of which the proximal (interstitial and isthmic) obstruction 512 side, distal (ampullary, umbrellas side) side of obstruction 92. Aged 24 to 43 (average 28.3) years of age, infertility time of 2 ~ 8 (average 3.32) a. 302 patients had one or more of these flow history; spouse semen examination was normal, husband and wife normal sex life. Inspection of the equipment used for the Shenyang-Dalian QD2-based hysteroscopy, Toshiba 3.5 ~ 5.0 Hz B super-instrument, 1 mm silica gel interstitial catheters, guide wires without damage. 1.2 Methods Therapy in menstrual clean implemented within 3 ~ 7 d. Preoperative 30 min, 6542 10 mg, im, in patients with bladder lithotomy position taken, routine disinfection, shop towels, cervical both sides of the injection of 20 g / L lidocaine in the 2 mL, expansion of the rear mirror swollen cervical canal Palace, Palace swelling pressure 10 ~ 15 kPa, swelling Palace liquid for 50 g / L glucose. endoscopic OK bilateral tubal cannulation, injection of methylene blue solution through the catheter confirmed the existence of fallopian tube obstruction, with the treatment fluid (gentamicin 80000 u + dexamethasone 5mg + α chymotrypsin 2000u + saline 20 mL 20 g / L lidocaine 5 mL) injected through the catheter to clear the pressure tube. can not clear the catheter inserted via the guide wire 0.3 mm without damage, to promote clear. surgery to prevent infection, local physical therapy, Chinese medicine treatment of blood circulation and prevent re-obstruction. Fu-pass judgments: ① transcatheter injection of treatment fluid wit