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B超监导下宫腔镜输卵管插管治疗输卵管性不孕症的临床分析 被引量:5

B ultrosound guided hysteroscopic tubal catheterization for tubal factor infertility
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摘要 目的:探讨在B超监导、宫腔镜下行输卵管加压疏通术的效果。方法:2007年3月~2009年9月100例患者共185条输卵管,均经子宫输卵管碘油造影(HSG)证实单侧或双侧输卵管梗阻,100例患者均行宫腔镜直视下输卵管插管加压注药术,并采用腹部B超监导评定治疗效果。结果:经1次注药后,有132条输卵管完全通畅,占71.35%。经1次注药通畅38条输卵管,有11例妊娠;经2次注药通畅94条,有51例受孕。结论:B超监导下行宫腔镜输卵管注药术准确性高,具有安全、简便、创伤小、可反复操作等优点.,术后近期疗效较好,且受孕率随注药次数的增加而有所提高。 Objective:To investigate the effects of hysteroscopic tubal catheterization for tubal factor infertility under B-ultrosound supervision. Methods: During March 2007 and September 2009,A total of 100 patients that were confirmed as unilateral or bilateral tubal obstruction (185 obstructed fallopian tubes all together) by hysterosalpingography were included in this study. Tubal catheterization pressure injection under hysteroscope was performed on all patients and the therapeutic effects were evaluated by B- ultrasound. Results: After 1-3 times of injection, a total of 132 tubes (71.35%, 132/185) were improved to be complete open, including 38 tubes that were complete open after one single injection ( 11 cases got pregnant) and 94 tubes that were open after 2 - 3 times of injection (51 got pregnant). Conclusion: B ultrasound guided hysteroscopic tubal catheterization pressure injection is a safe, easy, effective, and minimally invasive treatment for tubal factor infertility with advantages of good short-term effects and ideal pregnancy rate that increases with times of injection.
出处 《海南医学院学报》 CAS 2009年第12期1594-1596,共3页 Journal of Hainan Medical University
基金 佛山市医学类科技攻关项目 项目编号(200608156)~~
关键词 B超声检查 宫腔镜 输卵管性不孕症 输卵管加压疏通术 B-ultrasonic examination Hysteroscopy Tubal factor infertility Tubal aquadissection under pressure
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