输卵管通畅性检测常用的检查方法及评价Common Test Method and Evaluation of Salpinx Fracture转载2008-05-05

输卵管不通及周围粘连是导致女子不孕的常见原因之一 ,输卵管性不育的主要病因是各种生殖道上行性或经血传播的生殖道炎症导致的输卵管管腔狭窄、粘连, 伞端闭锁及盆腔组织粘连。继发性不育炎症发病率 30%、原发不育为27%，明确诊断输卵管通畅性及是否有输卵管周围粘连及粘连部位、范围 ,对临床治疗方法的选择有指导意义，因此输卵管通畅性检测是不孕不育症检查的重要步骤。输卵管通畅性检测常用的检查方法有:输卵管通气术、输卵管通液术、B型超声监测下输卵管通液术、子宫输卵管碘油造影术、宫腔镜下输卵管口插管通液术、经阴道注水腹腔镜下通液术、联合应用宫腔镜腹腔镜子宫输卵管通液术。本文对7种检查方法进行分析比较 ,探讨了各种方法的临床应用价值。

The tubal impassability and surrounding adhesion is one of the common causes of infertility in women. The main cause of tubal infertility is the stenosis and adhesion of the tubal canal caused by various upper sex of the reproductive tract or transbloody inflammation of the reproductive canal, and the atresia of the umbrella end. And pelvic tissue adhesion. The incidence of secondary sterility is 30 %, and the primary sterility is 27 %. The clear diagnosis of tubal patency and whether there is adhesion and adhesion around the fallopian tube is of guiding significance for the choice of clinical treatment methods. Therefore, the examination of oviduct patency is an important step in the examination of infertility. The commonly used test methods for tubal patency are: tubal ventilation, tubal liquid surgery, B-type ultrasound monitoring of tubal liquid surgery, uterine tubal iodine oil imaging, hysteroscopy under the tubal canal liquid surgery, transvaginal water injection laparoscopic liquid surgery, combined use of hysteroscopy laparoscopic uterus Tubal fluid surgery. In this paper, seven kinds of examination methods are analyzed and compared, and the clinical application value of various methods is discussed.