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我院对35例患者进行子宫输卵管双氧水超声检查。年龄23～41岁,婚后不孕时间1～14年。仪器日立EuB—26及40型线阵实时超声诊断仪,探头频率3.SMHz。方法:月经干净后3～7天检查,检查前膀胱中度充盈。在B超监视下将三通管置入宫腔,注入2％双氧水5～10ml,观察双氧水泡显影、流动、滞留情况,以确定输卵管是否通畅。1 结果 双侧输卵管通畅12例;一侧通畅者8例;两侧均不通畅者9例;5例经过缓慢;检出粘膜下肌瘤1例。均与注水检查方法比较结果相同。2 体会 ①注入双氧水后B超立即显示宫腔正中呈“喷泉”样强光团反射,气泡光带似“蚯蚓”样沿输卵管向两侧延伸。由伞端入腹腔,在其伞端区域形成类似“皂泡堆”样强光团。注射器手感压力较轻者,即为畅
35 patients in our hospital for uterine tubal ultrasound examination of hydrogen peroxide. Age 23 to 41 years old, infertility after marriage 1 to 14 years. Instruments Hitachi EuB-26 and 40 linear real-time ultrasonic diagnostic apparatus, probe frequency 3.SMHz. Methods: Menstrual clean after 3 to 7 days to check, check before filling the bladder moderate. Under the supervision of B-tube into the uterine cavity, into 2% hydrogen peroxide 5 ~ 10ml, observed the development of hydrogen peroxide blisters, flow, retention, to determine whether the tubal patency. 1 results of bilateral tubal patency in 12 cases; unilateral patency in 8 cases; both sides are not clear in 9 cases; 5 cases after slow; submucosal fibroids detected in 1 case. Both are the same as the waterflooding method. 2 experience ① after injection of hydrogen peroxide B-immediately showed that the middle of the uterine cavity was “fountain” like a light group of reflexes, light bubbles like “earthworm” like the extension along the fallopian tubes to both sides. From the umbrella end into the abdominal cavity, in the area of its umbrella end to form a similar “soap bubble pile” like light group. Syringe feel less pressure, that is smooth