摘要
目的探讨经后穹窿穿刺宫腔镜探查不孕症盆腔因素的临床应用价值。方法回顾性分析120例不孕症患者经后穹窿穿刺宫腔镜探查盆腔或子宫输卵管造影的情况。结果实验组异常者49例:输卵管堵塞9例(一侧堵塞6例,两侧堵塞3例),盆腔粘连47例,子宫内膜异位症2例,盆腔包块3例,子宫内病变12例,部分有2项以上异常。15例术后进行LAP手术治疗,与经后穹窿穿刺宫腔镜探查基本一致(仅1例子宫前壁肌瘤漏诊),对盆腔粘连、子宫内膜异位症、盆腔包块的诊断率达93%。对照组异常者46例:输卵管通畅27例,通而不畅18例,堵塞15例,宫内病变6例,部分有2项以上异常。结论经后穹窿穿刺宫腔镜探查技术具有操作简单、准确、微创、安全、经济等优点,可以作为探查不孕症盆腔因素的首选方法,适宜临床推广应用。
Objective To explore the culdocentesis hysteroscope exploration of the clinical value of pelvic factor infertility. Methods A retrospective analysis of 120 cases of infertility by hysteroscopy exploration of posterior vaginal fornix puncture pelvic or womb fallopian tube radiography. Results The experimental group 49 cases were abnormal： obstruction of fallopian tube in 9 cases （ one block in 6 cases, 3 cases of both sides of block ）, pelvic adhesion in 47 cases, 2 cases of endometriosis, pelvic mass in 3 cases, 12 cases of uterine lesions, some have 2 or more abnormal. 15 cases of postoperative LAP operation treatment, and the posterior fornix puncture hysteroscope exploration are basically the same （only 1 cases of anterior uterine wall leiomyoma misdiagnosed）, on pelvic adhesions, endometriosis, pelvic mass diagnosis rate was 93%. The control group was abnormal in 46 cases： 27 cases of fallopian tube patency, and the poor in 18 cases, 15 cases of intrauterine lesions block, 6 cases are part of 2 or more abnormal. Conclusion The culdocentesis hysteroscope exploration technology has the advantages of simple operation, accurate, minimally invasive, safe, economic and other advantages, can be used as a probe of infertility pelvic factors is the preferred method, suitable for clinical （especially the primary level hospitals） promotion application.
出处
《当代医学》
2013年第12期31-32,共2页
Contemporary Medicine
基金
广东省佛山市顺德区卫生局科研立项(2011053)
关键词
后穹窿穿刺
宫腔镜
子宫输卵管造影
不孕症
盆腔因素
Culdocentesis
Hysteroscope
Hysterosalpingography uterosalpingography（HSG）
Infertility
Pelvic factors
