宫腔镜B超联合治疗输卵管梗阻576例分析  

Analysing 576 diagnosis and treatment of tubal infertility by combined use of B-ultraso und hysteroscopy

作　　者：梁丽[1] 耿鹏[1] 陆建明[1] 刘中朝[1] 

机构地区：[1]徐州市妇幼保健院,江苏221009

出　　处：《中国优生与遗传杂志》2006年第12期103-104,共2页Chinese Journal of Birth Health & Heredity

摘　　要：目的探讨宫腔镜B超联合下不同插管方式治疗输卵管梗阻的疗效。方法对2001年1月至2004年4月在我院就诊的576例子宫输卵管碘油造影提示为输卵管梗阻的不孕患者,分别采用单层输卵管插管及双层套管,行B超宫腔镜联合下治疗输卵管梗阻。记录输卵管疏通情况。结果与术前比较,术后两组输卵管通畅病例均增加。其中,双层套管治疗后输卵管再通率达89%,单层导管再通率达67%,两组比较差异有显著性(P<0.05=。双层套管术后输卵管穿孔发生率较单层导管高,差异有显著性(P<0.05)。结论B超宫腔镜联合治疗输卵管梗阻疗效确切,使用双层套管较单层导管再通率高。Objective： To investigate the efficacy of two difference methodes in the treatment of salpingemphraxis under B -uhrasound and hysterosopy. Methods： During 2001 - 2004, 576 infertile patients with fallopian tube obstruction, were successfully managed by catheterizatation of the ostium using hysteroscopy under B - uhralsound guidance. 210 cases were operated by single layer catheter, 366 cases by duble layer catheter. Results： The rate of unobstructed tube increased after operation, the double layer catheter make higher success than single layer catheter, there was significant difference between two methodes. Conclusion： Using duble layer catheterizatation is more efficient than single layer catheterlzatation in treatment of salpongemphraxis under B - ultrasound and hysteroscopy .

关 键 词：宫腔镜 B超 输卵管梗阻 

分 类 号：R711.6[医药卫生—妇产科学]