论文部分内容阅读
许多输卵管粘膜的病损虽不能为输卵管造影和腹腔镜检查所发现,却是导致经显微外科手术修复输卵管后仍不孕的主要原因。作者试用一直径3mm较硬的光导套镜(telescope)于腹腔镜检时插入输卵管,对局部粘膜作直接的观察研究。该镜含有联接生理盐水灌注装置的外鞘,操作时首先要使腹腔镜与输卵管成一直线,有时需一无创伤钳自腹壁另一切口进入予以固定。然后,将套镜经腹腔镜管道插入输卵管伞端入口,此时可行盐水灌注,输卵管因扩张,在直视下以利套镜不断前进。多数情况下该镜能进入到壶腹部3～4cm深处。管腔被生理盐水充盈扩张时,可对浮动的粘膜
Although many tubal mucosal lesions can not be found by tubal angiography and laparoscopy, it is the main cause of infertility after microsurgical repair of tubal. The authors attempted a rigid 3 mm diameter telescope inserted into the fallopian tube during laparoscopy for direct observation of the local mucosa. The mirror contains a sheath attached to the saline infusion device. The first operation is to align the laparoscope with the fallopian tube. Sometimes a non-invasive forceps is needed to fix it from the other incision in the abdominal wall. Then, the mirror through the laparoscopic tube into the fallopian tube umbrella end of the entrance, then feasible saline infusion, due to expansion of the fallopian tube, under direct vision to facilitate continuous improvement of the mirror. In most cases the mirror can enter the ampulla 3 ~ 4cm deep. When the lumen is inflated and filled with saline, it can float to the mucous membrane