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目的探讨B超监测下双氧水子宫输卵管造影对治疗不孕症的价值。方法对548例女性不孕患者于月经干净后3～7d,使用输卵管通液术常规器械,在日本AlokaSSO-650型B型超声诊断仪的监测下,先向宫腔内灌注生理盐水5ml,再推注1.5%的双氧水7～10ml,观察动态下气体在子宫输卵管充盈及通畅情况。结果双侧输卵管通畅者227例,输卵管阻塞321例,其中双侧输卵管阻塞59例,一侧通畅一侧部分阻塞173例,一侧通畅一侧完全阻塞89例。114例输卵管阻塞患者经过治疗2～4次后2～12个月后怀孕。结论双氧水配合生理盐水行子宫输卵管造影简单、安全、经济,用于不孕症的治疗颇有实用价值。
Objective To investigate the value of Hysterosalpingography in the treatment of infertility with B-ultrasound. Methods 548 female patients with infertility menstruation after 3 ~ 7d, the use of tubal fluid conventional surgical instruments, Japan AlokaSSO-650 B-type ultrasound diagnostic apparatus, the first intrauterine perfusion with saline 5ml, and then 1.5% hydrogen peroxide injection 7 ~ 10ml, observe the dynamics of the gas in the uterus tubal filling and patency. Results 227 cases of bilateral tubal patency, tubal obstruction in 321 cases, including bilateral tubal obstruction in 59 cases, one side of the unobstructed side of the partial obstruction of 173 cases, one side of the unobstructed side completely blocked in 89 cases. 114 cases of tubal occlusion patients after treatment 2 to 4 times after 2 to 12 months after pregnancy. Conclusion Hydrogen peroxide with physiological saline hysterosalpingography simple, safe and economical, for the treatment of infertility quite practical value.