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目的讨论宫腔镜下输卵管插管疏通术在不孕症患者诊治中的应用价值。方法2003年5月-2007年5月对122例原发性不孕患者(原发组)和185例继发性不孕患者(继发组)行宫腔镜检查并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明显增加;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率分别达16.9%和16.2%,而术后仍双侧阻塞的病例减少至34.5%。结论宫腔镜下输卵管口插管疏通术对输卵管因素的不孕症患者的诊治效果比较理想,值得推广应用。
Objective To discuss the value of hysteroscopic tubal catheterization in diagnosis and treatment of infertility patients. Methods From May 2003 to May 2007, 122 cases of primary infertility (primary group) and 185 cases of secondary infertility (secondary group) underwent hysteroscopy and tubal orifice tube were dredged Surgery, record tubal clear situation. Results Compared with preoperative, tubal patency cases were significantly increased in both groups. Preoperative tubal obstruction cases showed bilateral unilateral patency and unilateral patency were 16.9% and 16.2% The number of obstructive cases decreased to 34.5%. Conclusions Hysteroscopic tubal cannulation to clear the tubal factors of infertility patients diagnosis and treatment effect is ideal, it is worth to promote the application.