输卵管镜临床应用进展  

Application of Falloposcopy:A Review

作　　者：陈航[1] 黄晓武[1] 

机构地区：[1]首都医科大学附属复兴医院宫腔镜中心,北京100038

出　　处：《国际生殖健康／计划生育杂志》2017年第3期213-218,共6页Journal of International Reproductive Health/Family Planning

基　　金：首都临床特色应用研究(Z141107002514118)

摘　　要：输卵管镜是用于检查输卵管腔的显微内窥镜,其经过宫腔镜、腹腔镜、生育镜的引导,或单独进入输卵管内,可检查输卵管管腔是否通畅,有无狭窄、粘连、梗阻、充血、积液、息肉、憩室、子宫内膜异位病灶等,评价输卵管的功能,能纠正传统输卵管通畅性检查的假阳性和假阴性结果,还可以对病变进行活检,并同时疏通输卵管,能够兼顾诊断与治疗。输卵管镜检查可以明确输卵管性不孕的原因,病变严重时需及时选择体外受精-胚胎移植(in vitro fertilization and embryo transfer,IVF-ET),而病变较轻时保守性手术治疗可以显著提高不孕症患者的自然受孕率。随着生殖医学技术的发展和对输卵管研究的不断深入,输卵管镜显示出明显的优势,在输卵管疾病诊治方面发挥不可替代的作用。对近年国内外有关输卵管镜诊治的进展进行综述,总结输卵管镜诊治的临床应用价值。Falloposcope, a microendoscopy for the inspection of inner side of fallopian tube, can enter into fallopian tube with the guide of hysteroscopy, laparoscopy and fertiloscopy, or without the guide. Not only can falloposcope be used for the examination of tubal patency, including stenosis, obstruction, adhesions, hyperemia, hydrops, polyps, diverticulum, endometriotic lesions and so on, but also used for the biopsy of lesion and the dredge of fallopian tube. Falloposcope can be used to evaluate the function of fallopian tube, correcting the false positive and false negative results of the traditional test. It means that falloposcope can be employed for both diagnosis and treatment. Moreover, the causes of some tubal infertility can be clarified by falloposcope. The in vitro fertilization and embryo transfer （IVF-ET） is preferred for those patients with serious tubal lesions, while surgical treatment can increase the natural pregnancy chance for patients with mild tubal lesions. With the development of reproductive medicine technology and the deep study on fallopian tube, the advantages of falloposcopy have been showed, especially its irreplaceable role in the diagnosis and treatment of tubal disease. This review focuses on the progress of diagnosis and treatment of falloposcopy at home and abroad in recent years,and summarizes the clinical application value of it.

关 键 词：宫腔镜检查 内窥镜检查 输卵管 不育 女(雌)性 

分 类 号：R711.6[医药卫生—妇产科学]