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目的探讨宫腔镜介导下输卵管插管疏通术治疗输卵管阻塞的有效方法和疗效。方法在宫腔镜直视下显示输卵管开口,以外径1.4cm的医用塑料导管,经宫腔镜插入输卵管间质部0.5~0.8cm,再将硬外管经医用导管插入远端输卵管内,一般可插入1~6cm。经硬外管推注疏通药进行扩张治疗。结果本组120例阻塞不通的输卵管经宫腔镜介导下输卵管插管扩张治疗后,70例成功,有效率达58.3%(37/64)。结论该法创伤小,操作简便,疗效肯定,是目前治疗输卵管阻塞的较好方法。
Objective To investigate the effective method and effect of hysteroscopic tubal catheterization for the treatment of tubal obstruction. Methods Hysteroscopy under the eyes showed tubal opening to 1.4cm diameter medical plastic catheter inserted into the tubal interstitial 0.5 ~ 0.8cm by hysteroscopy, and then the hard outer tube through the medical catheter into the distal fallopian tube, the general Can be inserted 1 ~ 6cm. The hard outer tube of drugs to promote dilatation treatment. Results In this group of 120 cases of obstruction of the fallopian tube by hysteroscopic tubal intubation dilation treatment, 70 cases were successful, the effective rate was 58.3% (37/64). Conclusion The method is less traumatic, simple and easy to operate with definite curative effect. It is a better method to treat tubal obstruction.