测定宫腔内压在诊断输卵管性不孕症中的临床意义

The clinical significance of uterine pressure detction in the diagnosis of tubal infertility

目的 :探讨宫腔内压测定在输卵管性不孕症诊断中的临床意义。方法 :采用NCI-I型输卵管通液治疗仪测定10 8例不孕患者的宫腔内压 ,并与输卵管碘油造影进行对比观察。结果 :通畅者 18例 ,宫腔内压力平均为 11 1kPa(5 6kPa～ 14 4kPa) ;有阻塞 4 6例 ,宫腔内压力平均为 18 5kPa (16 1kPa～ 2 3 1kPa) ;不通者 4 4例 ,宫腔内压力平均为2 6kPa (2 5 1kPa～ 2 6 7kPa)。自动通液结果与造影结果相符。结论 :自动通液测定宫腔内压可以较准确而简便地诊断输卵管性不孕 ,且能自动控制注液速度和注液量 ,安全性好。

Objective:To investigate the clinical significance of uterine pressure detection in the diagnosis of tubal infertility.Methods:NCI-Ⅰ tubal iliquid instillation instrument was employed to detect the uterine pressure in 108 patients and compared with tubal iodized oil roentgenograph.Results:Automatic liquid instillation showed a corresponding result with that of;lodized oil roentgenograph:no obstruction in 18 patients,with the mean uterine pressure of 11.1kPa(5.6kPa to 14.4kPa);obstruction to some extent in 46 patients,with the mean uterine pressure of 18.5kPa(16.1kPa to 23.1kPa);and complete obstruction in 44 patients,with the mean uterine pressure of 26kPa(25.1kPa to 26.7kPa).Conclusion:Automatic liquid instillation for the uterine pressure detection can conveniently and accurately diagnose tubal infertility,what's more,it can automatically control and adjust the speed and volume of liquid instillation.Therefore,it is worthy of popularization in clinic.