国际生殖健康/计划生育杂志

国际生殖健康/计划生育 ›› 2016, Vol. 35 ›› Issue (3): 202-204.

• 论著 • 上一篇    下一篇

宫腔镜的新用途：代替输卵管镜

陈俊，侯海燕，陈亚琼，陈晓，杨振华   

  1. 300193 天津中医药大学（陈俊，侯海燕）；中国人民武装警察部队后勤学院附属医院妇产科（陈俊，侯海燕，陈亚琼，陈晓，杨振华）；中国医学科学院 北京协和医学院（侯海燕）
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2016-05-15 发布日期:2016-05-15
  • 通讯作者: 陈亚琼

New Application of Hysteroscopy: Replacement for Salpingoscopy

CHEN Jun, HOU Hai-yan, CHEN Ya-qiong, CHEN Xiao, YANG Zhen-hua   

  1. Tianjin University of Traditional Chinese Medicine，Tianjin 300193, China（Chen Jun, HOU Hai-yan）; Department of Obstetrics and Gynecology, Affiliated Hospital of Logistics College of Chinese People′s Armed Police Forces, Tianjin 300162, China（CHEN Jun, HOU Hai-yan，CHEN Ya-qiong, CHEN Xiao, YANG Zhen-hua）; Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China（HOU Hai-yan）
  • Received:1900-01-01 Revised:1900-01-01 Published:2016-05-15 Online:2016-05-15
  • Contact: CHEN Ya-qiong

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摘要： 目的：探讨宫腔镜代替输卵管镜在输卵管积水不孕症生殖手术中的作用。方法：选取2012年1月—2012年8月在中国人民武装警察部队后勤学院附属医院妇科因输卵管积水不孕症而住院手术的43例患者进行回顾性分析。所有患者均行宫腹腔镜联合探查术，术中用宫腔镜观察输卵管管腔内是否存在粘连、黏膜皱襞缺失、黏膜皱襞圆钝、碎片、异物和异常血管，以上6项出现1项计1分，计算总的F值评分，根据F值行输卵管线性切除术或输卵管造口术，统计输卵管造口术后患者2年内的宫内妊娠率及活产率。结果：43例患者共66条输卵管确诊为输卵管积水，8条输卵管F值≥2分行输卵管线性切除术，行输卵管造口术者术后2年累积妊娠率为45%（18/40），活产率为35%（14/40）。结论：宫腔镜代输卵管镜可对输卵管内部进行观察，指导输卵管积水的进一步处理，并可能提高患者术后妊娠率。

关键词: 宫腔镜检查, 内窥镜检查, 输卵管镜, 输卵管疾病, 不育, 女（雌）性, 妇科外科手术, 妊娠率

Abstract: Objective: To explore the probability of hysteroscopy, replacing salpingoscopy, in tubal reconstructive surgery with infertility of hydrosalpinx. Methods: Data from 43 patients with infertility of hydrosalpinx who accepted operation in our hospital from January 2012 to August 2012 were retrospectively analyzed. All the patients received the conjunction of hysteroscopy with laparoscopy. Under hysteroscopy, we observed the tubal lumen, including adhesions, loss of mucosal folds, rounded edges of mucosal folds, debris, foreign bodies and abnormal vessels. The F score expressed the sum of the above abnormal results, each abnormal result was given one score. After linear salpingectomy or salpingostomy following the F score, a follow-up within 24 months was done, and the pregnancy rate and the live birth rate were recorded. Results: In 43 patients, 66 tubes were diagnosed as hydrosalpinx by laparoscopy, 8 tubes (F score≥2) were removed. The pregnancy rate was 45%（18/40）, and the live birth rate was 35%（14/40）. Conclusions: Hysteroscopy can be used to replace salpingoscopy to observe the tubal lumen, which can afford beneficial suggestion of hydrosalpinx therapy.

Key words: Hysteroscopy, Endoscopy, Salpingoscopy, Fallopian tube diseases, Infertility, female, Gynecologic surgical procedures, Pregnancy rate