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《Maternal and Child Health Care of China》 2005-19
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Using hysteroscopy combined with ultrasonography monitoring to check the unobstruction of oviductsO

WANG Xiao-Li,LIU Qing,MU Rong-Xiao.Maternity and Child Health Care Hospital of Gansu Province,Lanzhou,730050,ChinaXIA En-Lan.The Fuxing Hospital of Capital University of Medical Sciences,Beijing 100006,China  
Objective:To evaluate the clinical value of using hysteroscopy combined with ultrasonography monitoring in checking the unobstruction of oviduct.The patients who under hysteroscopy,pluging and injecting the oviducts to let them clear,need to take misoprostol to expand cervix uteri before operation.Methods:280 infertile patients who take misoprotal to expand cervix uteri three hours before operation received hysteroscopy and pluging and injecting the oviducts.The hysteroscope was equipped with WOLF outer covering 21Fr.Results:In the 280 infertile patients,65cases were founds both two side oviducts totally clear(23.21%),80 cases were found one side oviduct totally clear and another side open but not clear(28.57),56 cases were found both two side oviducts open but not clear(22.14%),35cases were found one side oviduct clear and another side open but not clear(12.50),44 cases were found both two side oviducts not clear(15.71),And 35 cases were found uterine carity abnormal(12,51).In the 44 patients,6 were resected the suffering 6 oviducts because of extrauterine pregnancy.So in the remain 82 oviducts,48 were found the far-extremity not clear while 34 were found the near extremity not clear.If the 44 patients received hysteroscopy combined with laparocopy,the results were the same.The two methods were not significantly different(P0.01).Conclusion:Using hysteroscopy combined with ultrasonography monitoring to check the unobstruction of oviduct was a good method.It is workable,with high accuracy of diagnoses,safe and it also can get both diagnose and cure at the same time.
【CateGory Index】: R711.6
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