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目的探讨阴道超声下宫腔输卵管通液对不孕症患者的应用。方法分析108例不孕症患者行阴道超声下宫腔输卵管通液检查的结果。结果108例中输卵管双侧通畅61例,左侧通畅右侧阻塞15例,右侧通畅左侧阻塞18例,双侧阻塞14例。双侧通畅的61例中有28例是在推注双氧水过程中阻力消失;宫内膜不整齐、回声不均匀者6例。治疗后随访6~24个月,46例怀孕,妊娠率达42.6%。本法和碘油造影及宫腔镜下插管的诊断结果基本相符。结论阴道超声下宫腔输卵管通液有助于宫腔病变的鉴别诊断,对输卵管性不孕有较好的诊断及治疗意义。
Objective To investigate the application of uterine tubal fluid under vaginal sonography in patients with infertility. Methods 108 cases of infertility patients underwent vaginal ultrasound tubal tubal fluid test results. Results 108 cases of tubal unilateral patency in 61 cases, left unobstructed right obstruction in 15 cases, right unobstructed left obstruction in 18 cases, bilateral obstruction in 14 cases. Bilateral patency in 61 cases, 28 cases of resistance in the process of hydrogen peroxide resistance disappeared; endometrial irregular, echo inhomogeneous in 6 cases. After treatment for 6 to 24 months, 46 cases of pregnancy, pregnancy rate was 42.6%. The law and lipiodol angiography and hysteroscopic catheterization consistent with the diagnostic results. Conclusions Uterine tubal fluid under vaginal sonography is helpful for the differential diagnosis of uterine cavity lesions and has good diagnostic and therapeutic significance for tubal infertility.