摘要
目的探讨经宫腔镜引导下选择性输卵管插管加压通液治疗输卵管梗阻性不孕的临床疗效。方法用宫腔镜观察宫内及输卵管开口情况,在直视下输卵管加压推注美蓝和疏通液。结果宫腔镜发现宫腔内异常病理变化85例,占85%;无异常15例,占15%。其中异常病理变化主要为,宫腔内膜性粘连55例,占64.7%;子宫内膜息肉17例,占20%;子宫内膜增生13例,占15%。研究组双侧阻塞55例,治疗后51例通畅,占92.7%(51/55);单侧阻塞45例,治疗后39例通畅,占86.7%(39/45)。对照组双侧阻塞50例,治疗后35例通畅,占70%(35/50);单侧阻塞30例,治疗后18例通畅,占60%(18/30)。研究组与对照组治疗前后组间比较有差异(χ2=4.44,P<0.05;χ2=11.57,P<0.01)。结论宫腔镜引导下输卵管插管加压通液治疗输卵管梗阻性不孕,是一种可行的治疗方法。
Aim To evaluate the effect of the selective tubal pressure hydrotubation with the guidance of hysteroscope in obstructive tubal infertility treatment.Methods Of 180 women who suffered obstructive tubal infertility,100 cases,as study group,were observed intrauterine and tubal openings by hysteroscope and injected methylene blue and clear liquid with pressure under direct vision,and 80 cases,as control group,were treated by traditional therapy.The patency rate between study group and control group after treatment was compared.Results In the study group,we found abnormal intrauterine pathological changes in 85 cases by hysteroscopy,accounting for 85%（85/100）,endometrial adhesions accounting for 64.7%（55/85）,endometrial polyps 20%（17/85）,and endometrial hyperplasia 15%（13/85）.In the study group,55 cases were bilateral obstruction,of which 92.7%（51/55） were patency,and of 45 cases unilateral obstruction,86.7%（39/45） were patency after treatment.In control group,of 50 cases of bilateral obstruction,70%（35/50）were patency,and of 30 cases which were unilateral obstruction,60%（18/30）were patency after treatment.It is significantly different in the patency rate between study group and control group after treatment（χ2=4.44,P0.05;χ2=11.57,P0.01）.Conclusion It is viable to treat obstructive tubal infertility with the tubal pressure hydrotubation under the guidance of hysteroscope.
出处
《安徽医药》
CAS
2010年第5期546-547,共2页
Anhui Medical and Pharmaceutical Journal
关键词
宫腔镜
输卵管梗阻性不孕
加压通液
hysteroscope
obstructive tubal infertility
tubal pressure hydrotubation
