宫腔镜下白泥鳅导丝输卵管复通术在不孕诊治中的价值

The value of tubal repatency under hysteroscopy using excellent wire to diagnose and treat unexpedite

目的探讨宫腔镜下白泥鳅导丝输卵管复通术用于诊断和治疗输卵管不通的临床价值。方法自2006年7月至2010年7月于我院门诊行宫腔镜输卵管通液的患者160例随机分为2组,一组91例182根输卵管,术前通畅51根,部分阻塞66根,阻塞65根,予以加压复通;另一组69例共138根输卵管,术前通畅29根,部分阻塞23根,阻塞86根,经白泥鳅导丝复通。结果加压复通后通畅81根,部分阻塞52根,阻塞49根;白泥鳅导丝复通后通畅129根,部分阻塞6根,阻塞3根。两种方法相比较,差异具有统计学意义(P=0.01)。结论宫腔镜下用白泥鳅导丝复通输卵管简便、有效,值得进一步推广。

Objective To discuss the clinical value of tubal repatency under hysteroscopy using excellent wire to diagnose and treat tubal unexpedite. Methods From July 2006 to July 2010 , one hundred and sixty cases were devided into two groups. Nighty-one cases were treated by increasing press. another 69 cases were treated using excellent wire. Results Within the 91 cases with 182 tubes, there were 51 expedite tubes, 66 partly obstructed tubes,65 obstructed tubes before the operation and 81 expedite tubes, 52 partly obstructed tubes,49 obstructed tubes aider increasing press.Within the 69 cases with 138 tubes, there were 29 expedite tubes, 23 partly obstructed tubes, 86 obstructed tubes before the operation and 129 expedite tubes , 6 partly obstructed tubes, 3 obstructed tubes after using excellent wire. There was significantly difference between the two groups （ P= 0.01 ）. Conclusions Tubal repatency under hysteroscopy using excellent wire is very convenient and efficient.