生育镜应用于不孕症的耐受性研究

The toleration of fertiloscopy in the outpatient infertility investigation.

目的探讨生育镜应用于不孕症的耐受性。方法45例患者行常规输卵管通液术(未采取任何镇痛措施),1d^30d后行生育镜[经阴道注水腹腔镜(transvaginalhydrolaparoscopy,THL)联合宫腔镜]检查。生育镜检查采取术前口服米索前列醇片0.4mg和术中吸入笑气(N2O)的措施镇痛。采用视觉模拟评分法(visualanalogscale,VAS)让患者对疼痛程度进行评分。结果本组患者THL术中的疼痛程度为(2.0±1.8)分,较宫腔镜检查时(2.4±1.9)分或既往输卵管通液术时(2.9±1.5)分轻(P<0.05),宫腔镜检查与既往输卵管通液术间的疼痛程度比较,差异无显著意义(P>0.05)。THL术中的疼痛例数(28/45,62.2%)少于既往输卵管通液术的疼痛例数(39/45,86.7%)(P<0.05),THL术中或既往输卵管通液术中的疼痛例数分别与宫腔镜检查时的疼痛例数(33/45,73.3%)比较,差异无显著意义(P>0.05)。结论患者在生育镜检查中对疼痛具有良好的耐受性,而且比输卵管通液术的耐受性更好,患者乐于接受。因此,有利于该项技术的推广应用。

Objective To investigate the toleration of fertiloscopy in the infertile women. Methods 45 patients had underwent tubal patency without using any analgesic method. After （1～30） d, they underwent fertiloscopy including transvaginal hydrolaparoscopy （THL） and hysteroscopy. They took misoprostol 0. 4 mg before fertiloscopy and inhaled nitrous oxide （NzO） during fertiloscopy. On the visual analog scale （VAS, Range 0～ 10 scores）, patients scored the pain. Results The patients gave a lower scores for THL （2.0± 1.8） than those of hysteroscopy （2.4± 1.9） or tubal patency （2. 9± 1.5） （P〈 0. 05）, but there were no significant difference between the scores of hysteroscopy and tubal patency （P〉 0. 05）. The cases of pain during THL （28/45, 62.2%） were less than those of pain during tubal patency （39/45, 86. 7%） （P〈0. 05）, but there were no significant difference between the cases of pain during hysteroscopy （33/45, 73.3%） and those during THL or during tubal patency （P〉0. 05）. Conclusions Fertiloscopy is a well-tolerated outpatient technique for investigating the pelvic structures in infertility, and that it＇s better tolerated than tubal patency. And so it is prone to accept and is in favor of popularizing.