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目的:观察宫腔镜直视下输卵管插管诊断和治疗输卵管近端梗阻的临床治疗效果。方法:选择经过输卵管造影诊断为双侧输卵管近端梗阻的不孕患者100例,随机分成两组,观察组50例,对其进行宫腔镜直视下输卵管插管加压推注美兰和疏通液,对照组50例,行传统的输卵管通液术;治疗结束后对两组资料进行统计分析。结果:观察组50例患者(93条输卵管)58条梗阻输卵管经治疗后复通,输卵管疏通率为62.36%;对照组50例(94条输卵管)18条梗阻输卵管经治疗后复通,输卵管疏通率为19.15%,观察组疏通率明显高于对照组,差异有统计学意义(P<0.01)。结论:宫腔镜下输卵管通液术优于传统通液术,基层医院可推广应用。
Objective: To observe the clinical effect of tubal intubation under hysteroscopy for the diagnosis and treatment of tubal proximal obstruction. Methods: One hundred cases of infertility who were diagnosed as bilateral proximal tubal obstruction by tubal angiography were randomly divided into two groups, 50 cases in observation group. The patients underwent hysteroscopic tubal intubation and pressure injection of Meilan and Clear the fluid, the control group of 50 patients underwent traditional tubal fluid surgery; after the end of the two groups of data for statistical analysis. Results: In the observation group, 58 obstructive tubal of 50 patients (93 fallopian tubes) were treated with recanalization and tubal clearance rate was 62.36%. In the control group, 18 obstruction tubal of 50 cases (94 fallopian tubes) were treated with recanalization and tubal dredging The rate was 19.15%, the observation group dredging rate was significantly higher than the control group, the difference was statistically significant (P <0.01). Conclusions: Hysteroscopic tubal access is better than the traditional liquid-passing technique, and the primary hospital can be popularized and applied.