宫腔镜直视下行输卵管插管注入粘堵剂绝育术408例效果观察  

Analysis on the Effectiveness of Tubal Sterilization Using Phenolatabrine Paste(PAP) in 408 Women under Hysteroscope

作　　者：刘静 杨燕 于玲 吴喜梅 许观照 李欣迎 王静 宋燕 牛冬梅 

机构地区：[1]山东省计划生育科研所,济南250002 [2]山东省济南市商河县计划生育技术服务站

出　　处：《中国计划生育学杂志》2008年第4期235-237,共3页Chinese Journal of Family Planning

摘　　要：目的：观察宫腔镜直视下行输卵管插管注入粘堵剂绝育术的临床效果。方法：官腔镜直视下输卵管通液证明输卵管通畅后，向管腔内注入复方苯酚糊0．03ml，X光平片显示输卵管内药物充盈长度≥1．0cm为显影合格，显影不合格者3个月后行宫腔镜下输卵管插管通液复查。结果：408例受术者共804条输卵管注药，显影合格767条，占95．4％，经通液复查证明一次注药成功率为99．38％（799条），经1～3年随访，术后无明显副反应、并发症和异位妊娠发生。结论：官腔镜直视下输卵管插管注入粘堵剂绝育术避免了经腹部小切口绝育术的风险和痛苦，手术安全、简便、无创伤、成功率高，注药微量，副反应轻微，为群众乐于选择的绝育手术。Objective： To observe the clinical effect of non-surgical female sterilization by Chemical instillation of the Fallopian tube under hysteroscope. Methods： In 408 women, hydrotubation of oviduct were conducted by injecting the phenolata-brine paste （PAP） （0.03ml） and pelviroentgenography were performed. The standard of the tubal occlusion was ≥ 1.0cm of the filling length of the PAP in the fallopian tube, but the failures needed recheck after 3 months. Results： In 408 women （804 fallopian tubes）, the rate of successful film was 95.4% （767/804）, the total tubal blockage was 99.3% （799/804） after 3 months. It indicated that the non- surgical female sterilization of PAP was showed lower rates of side effects, compli- cation and ectopic pregnancy after followed-up for 1-3 years. Conclusion： Nonsurgical sterilization by PAP instillation of the fallopian tube under hysteroscope is a method which appears safe, minimal invasive, convenient, effective and lower side effects.

关 键 词：宫腔镜 输卵管 非手术绝育术 复方苯酚糊剂 

分 类 号：R713[医药卫生—妇产科学]