摘要
目的探讨B超介入宫腔镜输卵管插管将输卵管不孕症进行分类的标准。方法 :采用B超介入宫腔镜下输卵管插管推注亚甲蓝液 ,观察推注阻力、推注量、亚甲蓝液有否回流及直肠子宫陷凹液性暗区的变化 ,对输卵管情况进行分类。选取每一类半数病例进行腹腔镜下宫腔镜输卵管插管检查。结果 :输卵管性不孕的输卵管分为四类 :其标准为Ⅰ类 :管腔丝状粘连或通畅 ;Ⅱ类 :峡部或间质部阻塞 ;Ⅲ类 :输卵管周围粘连、管腔不畅 ,Ⅳ类 :输卵管伞端粘连闭锁。判断其输卵管通畅度和阻塞部位的阳性预测值、阴性预测值、敏感度和特异性均与腹腔镜检查相似。结论
Objective:To evaluate the classification standard of Tubal Sterility by hysteroscopic tubal Cannulation under B-ultrasound monitoring. Methods:Based on the resistance,amount,reversion and fluid echo in Douglas pouch,tubal sterility was classified by hysteroscopic tubal cannulation with Methelene blue under the guidance of B-ultrasound.Half cases out of each classification had been compared with diagnostic laparoscopy combined with hysteroscopic cannulation.Results:Four types were classified.Type Ⅰ:Mild tubal adhesion or patency.Type Ⅱ:Isthmus or interstitial segment blocked.Type Ⅲ: Peritubal adhesion and tubal obstruction.Type Ⅳ: Umbrella segment adhesion and obstruction.The positive predictable value,negative predictable value,sensitivity and specificity of this technique were similar to diagnostic laparoscopy.Conclusion:The classification standard of tubal sterility by hysteroscopic tubal cannulation under B-ultrasound monitoring proves to be effective.
出处
《中国现代医学杂志》
CAS
CSCD
2002年第3期26-28,共3页
China Journal of Modern Medicine
关键词
宫腔镜输卵管插管
B超介入
输卵管性不孕
Hysteroscopic Tubal Cannulation
B-Ultrasound Monitoring
Tubal Sterility
