丙泊酚麻醉下B超监测输卵管通液术的临床应用分析

Clinical application analysis on hydrotubation under the propofol anesthesia by B-ultrasonic monitoring

目的 探讨丙泊酚麻醉下B超监测输卵管通液术的临床应用价值.方法 将门诊就诊180例继发不孕症患者,随机分为观察组和对照组两组,每组各90例.观察组行丙泊酚麻醉下B超监测输卵管通液术,对照组行传统通液术.结果 观察组与对照组相比,前者输卵管通畅率（64.44％）及术后受孕率（70.37％）高,两组比较差异有统计学意义（P＜0.05）.且观察组镇痛有效率明显高于对照组,血氧饱和度无明显改变,未出现其他腹痛、恶心、呕吐出冷汗等不良反应（Х^2=15.0957,P=0.0001）.结论 丙泊酚麻醉下B超监测输卵管通液术操作简便、无创、不受放射性影响.为患者提供人性化服务,可减轻患者身心痛苦,排除了由于疼痛和精神过度紧张而导致的输卵管痉挛的假阳性.手术时间短,输卵管通畅度的判断准确性提高.且手术当月即可怀孕,值得临床推广应用.

Objective To investigate the clinical application value of hydrotubation under the propofol anesthesia and monitoring of B-ultrasonic.Methods 180 out-patients with secondary infertility were randomly divided into observation group and control group,with 90 patients in each group.The observation group was treated with hydrotubation under the propofol anesthesia and monitoring of B-ultrasonic.The control group received traditional hydrotubation.Results Compared with the control group,the tubal patency rate （64.44％） and the pregnancy rate after operation （70.37％） in observation group were higher.There was significant difference between two groups （P ＜ 0.01）.And the analgesic efficiency was significantly higher,no significant changes in blood oxygen saturation degree,no abdominal pain,uausea,vomiting,cold sweats aud other adverse reactions found in observation group.Conclusion Hydrotubation under the propofol anesthesia and type-B ultrasonic monitoriug is simple,non-invasive,with no radiation effect.And it can provide the humanized service for patients,relieve the pain of mind and body,remove false positive of pain and mental stress caused by tubal spasm.The accuracy to the tubal patency judgment is improved,and with short time of operation.Pregnancy is allowed in the month of operation.Therefore,it is worthy of clinical applicatiou.