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目的 探讨宫腔镜下输卵管口插管疏通术在不孕症患者诊治中的应用价值。方法 2 0 0 1年 9月至2 0 0 3年 1月对 12 2例原发性不孕患者 (原发组 )和 185例继发性不孕患者 (继发组 )行宫腔镜检查及镜下输卵管口插管疏通术 ,记录输卵管疏通情况。结果 与术前比较 ,术后两组的输卵管通畅病例增加 ;术后原发组左侧输卵管通畅的病例较右侧多 ,而继发组左侧和右侧输卵管间的通畅性的差异无显著性意义 ;两组术前为输卵管阻塞的病例 ,术后输卵管双侧通畅与一侧通畅病例分别达 60 0 %和 47 0 % ,而术后仍双侧阻塞的病例分别减少至3 0 0 %和 3 7 8%。结论 宫腔镜下输卵管口插管疏通术对不孕症患者的诊治效果非常理想 ,原发性不孕患者的左侧输卵管较右侧输卵管的疏通效果好
Objective To investigate the value of hysteroscopic tubal canalization in diagnosis and treatment of infertility patients. Methods From September 2001 to January 2003, 12 2 cases of primary infertility (primary group) and 185 cases of secondary infertility (secondary group) underwent hysteroscopy Mirror tubal mouth catheter dredging, recording tubal clear situation. Results Compared with preoperative, tubal patency cases were increased in both groups. There were more cases of left tubal patency in the primary group after operation than those in the right group, but there was no significant difference in the patency between the left and right tubal in the secondary group The two groups of patients with tubal occlusion before surgery, tubal bilateral unilateral patency and unilateral patency cases were 60 0% and 47 0%, respectively, and the number of bilateral occlusion after surgery were reduced to 300% And 378%. Conclusion Hysteroscopic tubal cannulation to clear the diagnosis and treatment of infertility in patients with very satisfactory results, the primary infertility patients with left lateral fallopian tube better than the fallopian tube clear effect