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作者对44例29～41岁妇女(卵泡期36例、围排卵期5例、黄体期3例)行宫腔镜-输卵管镜联合检查。38例同时行腹腔镜检查。既往造影或腹腔镜检查显示双侧输卵管正常者10例(对照),肯定或怀疑输卵管疾病者34例。将曾行输卵管切除术13例及输卵管开口处梗阻4例除外,总计有71条输卵管备查。具体方法为:在电视监视下,将宫腔镜远端插入一侧输卵管开口内3mm处,经此插入外经0.3～0.8mm导丝,深约15cm,然后沿导丝插入外经1.2～1.3mm的特氟隆管,再抑出导丝,将输卵管镜插入特氟隆管,一边以乳酸林格氏液灌洗,一边在双重电视监测下进行观察,术后给预防性抗生素5天。
The author of 44 cases of women aged 29 to 41 (follicular phase in 36 cases, 5 cases of ovulation, luteal phase in 3 cases) hysteroscopy - tubal joint examination. 38 patients underwent laparoscopy at the same time. Past radiography or laparoscopy showed normal bilateral tubal in 10 cases (control), 34 cases of tubal disease confirmed or suspected. Thirteen cases of tubal resection and tubal obstruction in 4 cases except for a total of 71 tubal for future reference. The specific method is: under the supervision of television, the distal end of the hysteroscope inserted into the side of the fallopian tube opening 3mm Department, after the insertion of 0.3-0.8mm external diameter guide wire, about 15cm deep, and then inserted along the guide wire 1.2-1.3 mm Teflon tube, and then inhibit the guide wire, the tubal inserted Teflon tube, while lactic acid Ringer’s solution lavage, while under the dual TV monitoring were observed, postoperative prophylactic antibiotics for 5 days.