临床医学论著

经阴道超声监测下子宫输卵管通液检查在不孕门诊的应用

  • 俞海婷 ,
  • 雷蒙 ,
  • 王凤丽
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  • 呼和浩特市第一医院,内蒙古呼和浩特 010000

收稿日期: 2023-07-10

  网络出版日期: 2023-12-18

Application of hydrotubation under transvaginal ultrasound monitoring in infertility clinic

  • YU Haiting ,
  • LEI Meng ,
  • WANG Fengli
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  • The First Hospital of Hohhot, Hohhot 010000, China

Received date: 2023-07-10

  Online published: 2023-12-18

摘要

目的: 探讨经阴道超声监测下行子宫输卵管通液检查对于不育女性患者输卵管通畅性检查在不孕门诊的应用价值。方法: 选取不孕门诊就诊患者中有输卵管检查需求以及输卵管检查适应证的患者共200例作为研究对象,均采用(迈瑞)彩色多普勒超声系统DC-N3S(配备阴道探头)于术前、术中、术后实时监测。液体配制:庆大霉素8万单位,糜蛋白酶4 000 U,地塞米松5 mg,生理盐水60 mL。通过观察液体在子宫、输卵管的流动声像,以盆腔内积液分布以及阴道返流情况判断输卵管通畅度。结果: 输卵管通畅121例;输卵管通畅性异常79例(双侧不通21例,单侧不通26例,双侧或单侧输卵管通而不畅32例 ),其中12例于外院经子宫输卵管造影检查 ( HSG) 诊断,诊断结果符合通液结果。结论: 经阴道超声监测下子宫输卵管通液检查操作准确性高,安全,费用低,患者接受度高。

本文引用格式

俞海婷 , 雷蒙 , 王凤丽 . 经阴道超声监测下子宫输卵管通液检查在不孕门诊的应用[J]. 包头医学院学报, 2023 , 39(12) : 93 -96 . DOI: 10.16833/j.cnki.jbmc.2023.12.018

Abstract

Objective: To explore the application value of hydrotubation under transvaginal ultrasound monitoring for tubal patency examination of infertile women in infertility clinic. Methods: A total of 200 patients with tubal examination requirements and indications for tubal examination in infertility outpatients were selected as the research objects. DC-N3S (equipped with vaginal probe) color Doppler ultrasound system (Mindray) was used for real-time monitoring before, during and after operation. Liquid preparation: gentamicin 80 000 units, chymotrypsin 4000 U, dexamethasone 5 mg, normal saline 60 mL. By observing the flow of fluid in the uterus and fallopian tubes, the patency of fallopian tubes was judged by the distribution of fluid in the pelvic cavity and vaginal reflux. Results: A total of 121 patients were fallopian tube patency; 79 patients were abnormal fallopian tube patency (21 patients were bilateral obstruction, 26 patients were unilateral obstruction, and 32 patients were bilateral or unilateral fallopian tube obstruction). Among them, 12 patients were diagnosed by hysterosalpingography (HSG) in other hospitals, and the diagnosis results were consistent with the results of hydrotubation. Conclusion: Hydrotubation under transvaginal ultrasound monitoring has the advantages of high accuracy, safety, low cost and high patient acceptance.

参考文献

[1] 谢幸,孔北华,段涛. 妇产科学[M]. 第9版. 北京:人民卫生出版社,2018: 7,361.
[2] 关菁.输卵管疾病的生育力保护[J].中国实用妇科与产科杂志,2022,38(11):1083.
[3] 钱莹.156对不孕不育症患者临床观察[J].中国妇幼保健,2016,31(14):2917-2918.
[4] Agarlwal A,Mulgund A,Hamada A,et al.A unique view on male infertility around the globe[J].Reprod Biol Endocrinol,2015,13:37.
[5] 杨静薇,邓成艳,黄学峰,等.中华医学会生殖医学分会年度报告:2017年辅助生殖技术数据分析[J].生殖医学杂志,2020,29(2):143-148.
[6] Briceag I,Costache A,Purcarea VL,et al.Fallopian tubes--literature review of anatomy and etiology in female infertility[J].J Med Life,2015,8(2):129-131.
[7] 冒韵东.输卵管阻塞性病变的诊断选择[J].中国实用妇科与产科杂志,2019,35(1):68.
[8] 宣银凤,徐国宜,赵亚民. B超监测下输卵管通液在不孕症患者中的临床应用[J].实用医学影像杂志,2005,6(3):163.
[9] 孟春珍. B超下输卵管插管通液治疗输卵管性不孕症68例分析[J].山西医药杂志,2001,30(3):258.
[10] 管文征,王秀霞.输卵管性不孕症诊治的规范化[J].实用妇产科杂志,2020,36(5):335.
[11] 何海玲,方燕春,金轶. 超声检测下子宫输卵管通液术在不孕症诊治中的应用[J].现代中西医结杂志,2012,21(20):2234.
[12] 杨曦,张靖,孟洁,等.四维彩超输卵管造影流程的规范与优化[J].中国妇幼健康研究,2014,25(4):699-701.
[13] 逯彩虹,徐中华,戴卫红等.注水腹腔镜在妇科的应用现状与进展[J].腹腔镜外科杂志,2012,17(9):718.
[14] 谢红宁. 妇产科超声诊断学[M]. 北京:人民卫生出版社,2016: 10.
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