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目的:探讨宫腹腔镜联合COOK导丝输卵管插管术在治疗输卵管近端梗阻中的临床应用价值。方法:对80例因输卵管阻塞引起不孕症患者采用宫腹腔镜联合手术,在腹腔镜监视下先行宫腔镜输卵管口插管并加压通液术,若输卵管不通则用COOK导丝输卵管插管术。结果:80例患者共160条输卵管,32条行输卵管通液通畅,18条行粘连松解造口后通畅剩余110条输卵管经宫腔镜输卵管口插管通液术后再通为28条,而用COOK导丝输卵管插管术后的患者再通为74条,其他8条输卵管因粘连严重无法疏通,疏通率为95%。结论:宫腹镜联合COOK导丝疏通输卵管梗阻是不孕患者的理想选择,安全性高、效果好、术后恢复快、住院时间短、费用低,微创。无明显的副作用,值得应用和推广。
Objective: To investigate the clinical value of hysteroscopy combined with COOK guidewire tubal intubation in the treatment of tubal proximal obstruction. Methods: 80 cases of tubal obstruction caused by infertility patients with hysteroscopy combined with laparoscopy underwent hysteroscopic tubal oral intubation and pressurized fluid, if tubal failure with COOK wire tubal catheterization Tube surgery. Results: A total of 160 patients with tubal obstruction in 80 patients, smooth tubal patency in 32 patients, adhesions loosening in 18 patients, remaining 110 tubal masses in the hysteroscopic tubal oral catheterization, The use of COOK wire tubal catheterization after the patient recanalization of 74, 8 other serious tubal adhesions can not clear, dredge rate of 95%. Conclusion: Hysteroscope combined with COOK guide wire to clear the tubal obstruction is an ideal choice for patients with infertility, high safety, good effect, fast recovery, short hospital stay, low cost and minimally invasive. No obvious side effects, it is worth to apply and promote.