宫腔镜下蓝泥鳅导丝输卵管复通术.pdfVIP

海军总医院学报2008年3月第21卷第 1期 27 宫腔镜下蓝泥鳅导丝输卵管复通术 孙 影，王蔼明，赵 军，尹善德 (海军总医院妇产科，北京 100037) 摘要：目的 探讨官腔镜下蓝泥鳅导丝输卵管复通术用于诊断和治疗输卵管不通的临床价值。方法 54 例经官腔镜下输卵管通液诊断不通的患者，其中13例进行蓝泥鳅导丝输卵管复通术，41例进行加压输卵管 复通术。结果 41例患者共 81根输卵管，术前通畅27根，经加压复通后通畅 54根；13例患者共26根输卵 管，术前通畅 1根，经蓝泥鳅导丝复通后通畅25根。两种方法相比较，差异显著(￡一3．65，P=0．OO1)。结论 官腔镜下蓝泥鳅导丝进行输卵管复通更为简便、有效，值得进一步推广。 关键词：不孕症；官腔镜检查；输卵管通液；输卵管复通术 中图分类号：R713，5 文献标识码：B 文章编号：1009—3427(2008)0卜0027—02 Tubal Repatency under Hysteroscopy Using Excellent Wire SUN Ying，WANG Ai—ruing，ZHAO Jun，yJN Shan—de (Department of Obstetrics and Gynecology，Naval General Hospital，Beijing 100037，China) Abstract：0bjective To discuss the clinical value of tubal repatency under hysteroscopy using excellent wire to diagnose and treat tubal unexpedite．Methods We studied 54 cases with tubal unexpedite who were diagnosed by hydrotubation under hysteroscopy．Thirteen cases were treated using excellent wire，another 4 1 cases were treated by increasing press． Results Within the 4 1 cases with 8 1 tubes，there were 27 expedite tubes before the operation and 54 expedite tubes after increasing press．Within the 1 3 cases with 26 tubes，there was 1 expedite tubes before the operation and 25 expedite tubes after using excellent wire．There was significantly difference between the two groups(t=3．65，P一0．001)．Conclusion Tubal repatency under hysteroscopy using excellent wire is very convenient and efficient． Key words：Sterility；Hysteroscopy；Hydrotubation；Tubal repatency 近年来，继发性输卵管性不孕症的发生率逐步 清洁度工度，患者取膀胱截石位。应用沈大公司生 上升，对于输卵管不通的患者，我们采用宫腹腔镜联 产的直径5．2 mm的22。弯镜，5 葡萄糖作为膨官 合手术，取得了良好的效果。但输卵管阻塞大部分 介液，膨宫压力16～22 kPa。镜下找到输卵管开口 原因为炎症渗出物、组织碎屑或轻度粘连引起，如何