宫腔腹腔镜联合输卵管插管再通术诊治输卵管近端梗阻  

Diagnosis and treatment of cornual obstruction bytranscervical fallopian tube cannulation underhysteroscopy

作　　者：朱桂金[1] 罗丽兰[1] 林华[1] 

机构地区：[1]武汉市同济医科大学附属同济医院妇产科

出　　处：《中华医学杂志》1994年第4期203-205,共3页National Medical Journal of China

摘　　要：宫腔镜与腹腔镜联合输卵管再通术诊治输卵管近端梗阻３７例，其中６例１０条输卵管在宫腔镜下加压通液后腹腔镜检证实已通畅，余３１例５２条输卵管有２４例３６条输卵管再通成功。经常规子宫输卵管Ｘ线造影术和（或）腹腔镜诊断的近端梗阻，经宫腔镜加压通液和输卵管再通术后７４％（４６／６２）通畅。并发症少而轻，仅１例发生输卵管峡部穿孔，不出血，不需处理。因此，作者认为经宫腔镜输，卵管插管术是诊断和治疗近端梗阻的一种有效方法，值得推广。ranscervical cannulation of the proximaloviduct was perfoimed with a tube catheter and flexi-ble guidewire under hysteroscopic guidance to evalu-ate and treat intramural fallopian tube obstruction in37 patients. Hysteroseopic cannulation with directvisualization by laparoscopy was successful in 69.2%of the obstructed tubes, 77.4% of the cases. 74% ofthe obstructed tubes diagnosed by HSG and/orlaparoscopy was patent after hydrotubation andcannulation by hysteroscopy. Transcervicalcannulation of the proximal oviduct is an effectivemethod for evaluation and treatment of cornual ob-struction.

关 键 词：输卵管疾病 腹腔镜术 子宫镜检查 

分 类 号：R711.76[医药卫生—妇产科学]