宫腔镜在不孕症和输卵管再通术后的应用  

Hysteroscopic Visualization in Infertility and Reversible Operation after Tubal Sterilization

作　　者：王中泰[1] 李文贤[1] 项晓东[1] 

机构地区：[1]上海第二医科大学附属新华医院妇产科

出　　处：《生殖与避孕》1991年第1期61-64,共4页Reproduction and Contraception

摘　　要：自1985年1O月至1988年3月对249例不孕或复通术后的病例进行504次宫腔镜检查和治疗,其中镜检前曾作复通术或其他腹部检查手术者132例,宫腔镜发现异常者25例(19.53%);镜检术前曾作子宫输卵管造影者35例,宫腔镜发现异常者17例(48.57%);镜检术前未作其他辅助检查者82例,宫腔镜发现子宫输卵管异常者33例(42.31%)。经在宫腔镜直视下作输卵管插管通液治疗后输卵管的通畅度获得改善者51例,占治疗病例的35.92%。受术者中目前已有33例妊娠且16例已足月分娩,未见宫外孕病例。本组病例宫腔镜术失败者11例(4.42%),但无严重并发症发生。在不孕症和复通术后的检查治疗中,宫腔镜是一种重要而安全的工具。Five hundred and four examinations were made by hysteroscopic visualization in 249 cases of infertile women and patients after reversible operations(reanastomosis procedures) after tubal sterilization during October,1985 to March,1988.Failure rate in this series for hysteroscopy was 4.42%.(11 cases).Transhysteroscopic delivery of cannula into tubal ostia and injection of medicine for treatment of tubal impatency was successful in 51 cases (35.92%)With fairly good results.Among them,33 patients reported pregnancy,16 cases being full-term delivery.No ectopic pregnancy nor severe complications were reported.

关 键 词：宫腔镜 不育症 复通术 

分 类 号：R711.6[医药卫生—妇产科学]