探讨宫腔镜联合腹腔镜行宫颈输卵管插管疏通术治疗输卵管近中段阻塞的效果  

To Investigate the Effect of Hysteroscopy Combined with Laparoscopy in the Treatment of Near Middle Fallopian Tube Obstruction

作　　者：阎冲 YAN Chong(Obstetrics Department of Wafangdian Central Hospital,Liaoning Dalian 116300)

机构地区：[1]瓦房店市中心医院产科,辽宁大连116300

出　　处：《中国医疗器械信息》2021年第2期72-73,101,共3页China Medical Device Information

摘　　要：目的:探讨输卵管近中段阻塞采用宫腔镜联合腹腔镜进行宫颈输卵管插管疏通术治疗的效果。方法:回顾性分析该院2017年2月~2019年2月进行治疗的患者60例的临床资料、治疗方法以及随访结果。结果:60例患者先采用腹腔镜、宫腔镜进行探查,之后进行输卵管通液检查,再进行输卵管插管疏通术治疗。检查与治疗均顺利完成,55例输卵管再通,再通率91.67%。随访1年,55例患者中妊娠23例,妊娠率41.82%。结论:输卵管近中段阻塞患者采用宫腔镜联合腹腔镜进行宫颈输卵管插管疏通术治疗成功率高,其治疗效果良好,还具有可视、微创、妊娠率高的特点。Objective:To investigate the effect of hysteroscopy combined with laparoscopy in the treatment of proximal fallopian tube obstruction.Methods:Clinical data,treatment methods and follow-up results of 60 patients treated in this hospital from February 2017 to February 2019 were retrospectively analyzed.Results:60 patients were treated with laparoscopy and hysteroscopy,followed by tubal drainage examination,and then tubal intubation and dredging.The examination and treatment were completed successfully,and the recanalization rate was 91.67%in 55 cases.Follow-up 1 year showed that 23 of the 55 patients were pregnant,with a pregnancy rate of 41.82%.Conclusion:Patients with proximal fallopian tube obstruction were treated with hysteroscopy and laparoscopy with high success rate and good therapeutic effect,and had the characteristics of visual,minimally invasive and high pregnancy rate.

关 键 词：输卵管近中段阻塞 宫腔镜 腹腔镜 输卵管插管疏通术 

分 类 号：R713.5[医药卫生—妇产科学]