宫腔镜的新用途：代替输卵管镜

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%（18/4...

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Published in	国际生殖健康/计划生育杂志 Vol. 35; no. 3; pp. 202 - 204
Main Author	陈俊侯海燕陈亚琼陈晓杨振华
Format	Journal Article
Language	Chinese
Published	中国医学科学院北京协和医学院%中国人民武装警察部队后勤学院附属医院妇产科 2016 中国人民武装警察部队后勤学院附属医院妇产科中国人民武装警察部队后勤学院附属医院妇产科%300193 天津中医药大学 300193 天津中医药大学
Subjects	不育,女（雌）性内窥镜检查妇科外科手术妊娠率宫腔镜检查输卵管疾病输卵管镜 Salpingoscopy Infertility,female 内窥镜检查输卵管疾病不育,女(雌)性 Hysteroscopy Pregnancy rate 妊娠率输卵管镜 Gynecologic surgical procedures 宫腔镜检查妇科外科手术 Endoscopy Fallopian tube diseases
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ISSN	1674-1889

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Summary:	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。
Bibliography:	Hysteroscopy;Endoscopy;Salpingoscopy;Fallopian tube diseases;Infertility,female;Gynecologic surgical procedures;Pregnancy rate 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 la
ISSN:	1674-1889