当代医学
噹代醫學
당대의학
CHINA CONTEMPORARY MEDICINE
2013年
12期
31-32
,共2页
后穹窿穿刺%宫腔镜%子宫输卵管造影%不孕症%盆腔因素
後穹窿穿刺%宮腔鏡%子宮輸卵管造影%不孕癥%盆腔因素
후궁륭천자%궁강경%자궁수란관조영%불잉증%분강인소
Culdocentesis%Hysteroscope%Hysterosalpingography uterosalpingography(HSG)%Infertility%Pelvic factors
目的探讨经后穹窿穿刺宫腔镜探查不孕症盆腔因素的临床应用价值.方法回顾性分析120例不孕症患者经后穹窿穿刺宫腔镜探查盆腔或子宫输卵管造影的情况.结果实验组异常者49例:输卵管堵塞9例(一侧堵塞6例,两侧堵塞3例),盆腔粘连47例,子宫内膜异位症2例,盆腔包块3例,子宫内病变12例,部分有2项以上异常.15例术后进行LAP手术治疗,与经后穹窿穿刺宫腔镜探查基本一致(仅1例子宫前壁肌瘤漏诊),对盆腔粘连、子宫内膜异位症、盆腔包块的诊断率达93%.对照组异常者46例:输卵管通畅27例,通而不畅18例,堵塞15例,宫内病变6例,部分有2项以上异常.结论经后穹窿穿刺宫腔镜探查技术具有操作简单、准确、微创、安全、经济等优点,可以作为探查不孕症盆腔因素的首选方法,适宜临床推广应用.
目的探討經後穹窿穿刺宮腔鏡探查不孕癥盆腔因素的臨床應用價值.方法迴顧性分析120例不孕癥患者經後穹窿穿刺宮腔鏡探查盆腔或子宮輸卵管造影的情況.結果實驗組異常者49例:輸卵管堵塞9例(一側堵塞6例,兩側堵塞3例),盆腔粘連47例,子宮內膜異位癥2例,盆腔包塊3例,子宮內病變12例,部分有2項以上異常.15例術後進行LAP手術治療,與經後穹窿穿刺宮腔鏡探查基本一緻(僅1例子宮前壁肌瘤漏診),對盆腔粘連、子宮內膜異位癥、盆腔包塊的診斷率達93%.對照組異常者46例:輸卵管通暢27例,通而不暢18例,堵塞15例,宮內病變6例,部分有2項以上異常.結論經後穹窿穿刺宮腔鏡探查技術具有操作簡單、準確、微創、安全、經濟等優點,可以作為探查不孕癥盆腔因素的首選方法,適宜臨床推廣應用.
목적탐토경후궁륭천자궁강경탐사불잉증분강인소적림상응용개치.방법회고성분석120례불잉증환자경후궁륭천자궁강경탐사분강혹자궁수란관조영적정황.결과실험조이상자49례:수란관도새9례(일측도새6례,량측도새3례),분강점련47례,자궁내막이위증2례,분강포괴3례,자궁내병변12례,부분유2항이상이상.15례술후진행LAP수술치료,여경후궁륭천자궁강경탐사기본일치(부1례자궁전벽기류루진),대분강점련、자궁내막이위증、분강포괴적진단솔체93%.대조조이상자46례:수란관통창27례,통이불창18례,도새15례,궁내병변6례,부분유2항이상이상.결론경후궁륭천자궁강경탐사기술구유조작간단、준학、미창、안전、경제등우점,가이작위탐사불잉증분강인소적수선방법,괄의림상추엄응용.
@@@@Objective To explore the culdocentesis hysteroscope exploration of the clinical value of pelvic factor infertility. Methods A retrospective analysis of 120 cases of infertility by hysteroscopy exploration of posterior vaginal fornix puncture pelvic or womb fallopian tube radiography. Results The experimental group 49 cases were abnormal:obstruction of fallopian tube in 9 cases ( one block in 6 cases, 3 cases of both sides of block ), pelvic adhesion in 47 cases, 2 cases of endometriosis, pelvic mass in 3 cases, 12 cases of uterine lesions, some have 2 or more abnormal. 15 cases of postoperative LAP operation treatment, and the posterior fornix puncture hysteroscope exploration are basically the same (only 1 cases of anterior uterine wall leiomyoma misdiagnosed), on pelvic adhesions, endometriosis, pelvic mass diagnosis rate was 93%. The control group was abnormal in 46 cases:27 cases of fallopian tube patency, and the poor in 18 cases, 15 cases of intrauterine lesions block, 6 cases are part of 2 or more abnormal. Conclusion The culdocentesis hysteroscope exploration technology has the advantages of simple operation, accurate, minimally invasive, safe, economic and other advantages, can be used as a probe of infertility pelvic factors is the preferred method, suitable for clinical (especially the primary level hospitals) promotion application.
