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输卵管阻塞是导致女性不孕的常见原因之一,多由经期、产后及各种流产、宫内操作感染或盆腔的炎症性浸润所致.在治疗中多采用单纯通液术进行治疗,但因其疗效不稳定,效果不确切而常不被肯定.我们自1994年以来对146例明确诊断为输卵管阻塞所致的不孕症患者,采用中西医结合治疗取得了满意而可靠的疗效.现报告如下.1 一般资料1.1 一般情况 146例中单侧输卵管阻塞62例,双侧输卵管阻塞84例.年龄最小者24岁,最大者39岁,平均年龄为31.5岁.不孕时间最短为2年,最长为5年,平均不孕时间为3.2年.1.2 诊断方法和标准 本组病例均为婚后同居2年以上,未采取任何避孕措施,有迫切生育愿望,经全面检查排除男方、子宫、卵巢等不孕因素后,患者于月经后3～7天,膀胱适度充盈,取膀胱截石位,臀部略抬高,常规消毒外阴,按子宫输卵管通液术常规操作,宫腔注入3%双氧水5ml.此时B超监测可发现宫腔内聚积大量气泡翻滚的回声,并迅速向子宫左右角移动,连续向双侧输卵管射流,如气泡经伞部溢出至腹腔,为双侧输卵管通畅;若双侧输卵管未见流动的线状强回声带,则为双侧阻塞;如气泡经一侧伞部溢至腹腔,为单侧阻塞.
Tubal obstruction is one of the common causes of infertility in women, mostly caused by menstrual, postpartum and various abortion, intrauterine infection or pelvic inflammatory infiltration.In the treatment of simple fluid through surgery, but due to Its efficacy is not stable, the effect is not precise and often not be affirmed.We have 146 cases of infertility diagnosed as tubal obstruction since 1994, the use of Integrative Medicine and achieved satisfactory and reliable efficacy. As follows.1 General information 1.1 General 146 cases of unilateral tubal obstruction in 62 cases, bilateral tubal obstruction in 84. The youngest 24 years old, the largest of 39 years old, with an average age of 31.5 years of infertility the shortest of 2 years, Up to 5 years, the average infertility time of 3.2 years.1.2 diagnostic methods and standards of this group of patients are living together for more than 2 years, did not take any contraceptive measures, there is an urgent desire for childbearing, after a thorough examination to exclude the man, the uterus, Ovarian and other infertility factors, the patient 3 to 7 days after menstruation, bladder moderate filling, take the bladder lithotomy position, the buttocks raised slightly, conventional disinfection of the vulva, uterine tubal fluid through the conventional operation, intrauterine injection of 3% hydrogen peroxide 5ml. At this time B-ultra Measurement can be found in the uterine accumulation of a large number of bubble tumbling echo, and quickly move to the left and right uterus, continuous bilateral tubojets, such as bubbles overflow through the umbrella to the abdominal cavity, bilateral tubal patency; if bilateral tubal no flow Of linear hyperechoic band, then bilateral obstruction; such as the bubble through the side of the umbrella to the abdominal cavity overflow, unilateral obstruction.