两种输卵管通液检查方法对比与验证的研究

A Comparison and Verification of Tubal Patency by Two Examination Methods

本文报告43例不孕症患者先后在B 超监护下进行输卵管常规通液术和宫腔镜下输卵管插管通液术。证实常规通液术结果受宫腔压力和通液量两种因素的影响,插管通液术结果受输卵管子宫口形态的影响。常规通液术与插管通液术两组在诊断输卵管通畅度时的符合率为87.5%,诊断不通畅时的不符合率为71.4%(P<0.01)。因此,对常规通液术诊断输卵管不通者应进一步做插管通液术检查。插管通液术诊断可靠,并具有诊断宫腔疾病,治疗疏通输卵管作用。

A prospective study of 1 tubal patency in 43 patients with 2 primary and secondary sterilitywas carried out by two different methods.The result of tubal instillation was 3 compared with that of4 hysteroscopic tubal intubation both with instillation of PSP and monitoring with ultrasonography.Theresult of hydrotubation was influenced by two factors,the intrauterine pressure and the amount ofPSP.Hysteroscopic tubal intubation was influenced by the shape of the uterine os of the tube.Thecorresponding tubal patency by both methods with positive result was 87.5% and the diversity withnegative result was 71.4%(P<0.01).So,the notification is that hydrotubation with a positive resulthas definite clinical significance,while a negative result is inconclusive and calls for furtherinvestigation by hysteroscopic tubal intubation.