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目的探讨超声监视下举宫器联合经阴道注水腹腔镜检查在不孕症中的应用价值。方法对符合举宫器联合经阴道注水腹腔镜检查的不孕症患者68例,在超声介入监视下进行检查,观察盆腔情况。结果 68例患者中一次性穿刺进入盆腔,腹腔镜沿穿刺针路径顺利进入子宫直肠陷窝66例,穿刺成功率占97.05%(66/68)。超声显示液池中盆腔粘连带26例,占33.23%(26/68),腹腔镜检查盆腔粘连带31例,占45.58%(31/68),符合率83.87%(26/31)。因盆腔粘连严重或输卵管伞端闭锁改行标准腹腔镜检查22例,占32.4%(22/68);无直肠损伤、术后穿刺部位出血、盆腔感染等并发症发生。结论超声监视下经阴道穿刺成功率高,可避免穿刺针具意外损伤盆腔脏器,超声显示盆腔粘连与腹腔镜检查有相似结果,对提高不孕症的诊疗发挥了重要作用。
Objective To investigate the value of uterine catheterization combined with transvaginal laparoscopy in the treatment of infertility by ultrasound. Methods Sixty-eight infertile patients who were in line with uterine apparatus combined with vaginal watering laparoscopy were examined under ultrasound intervention to observe the pelvic condition. Results Sixty-eight patients underwent a one-time puncture into the pelvis. Laparoscopy successfully entered the utero-rectum through 66 lacrimal passages. The successful rate of puncture was 97.05% (66/68). Ultrasound showed pelvic adhesions in the pool of 26 cases, accounting for 33.23% (26/68), laparoscopic pelvic adhesions in 31 cases, accounting for 45.58% (31/68), with a rate of 83.87% (26/31). Due to severe pelvic adhesions or tubal obstruction, 22 cases (32/64) were involved in standard laparoscopy, without rectal injury, postoperative puncture site bleeding and pelvic infection. Conclusion The high success rate of transvaginal puncture under ultrasound monitoring can prevent the puncture needle from accidentally damaging the pelvic organs. The ultrasound shows that pelvic adhesions and laparoscopy have similar results, which plays an important role in improving the diagnosis and treatment of infertility.