李雪梅+邓勍

[摘要] 目的 探讨经阴道B超过氧化氢溶液子宫输卵管通液对不孕症患者输卵管通畅性的诊断价值。 方法 选择2012年1月～2013年10月本院收治的不孕症患者220例，将患者随机分为观察组与对照组，每组各110例。观察组患者以经阴道B超过氧化氢溶液子宫输卵管通液方法进行诊断，对照组患者以X线碘油造影方法进行诊断，观察两组患者的诊断结果，并进行比较分析。 结果 1次显影后，两组患者输卵管的通畅情况比较，差异无统计学意义（P＞0.05）；4次显影后，观察组患者的宫内妊娠率、输卵管通畅率均明显提高，两组比较，差异有统计学意义（P＜0.05）。 结论 对不孕症患者以经阴道B超过氧化氢溶液子宫输卵管通液方法进行诊断，操作比较简单，对患者不会造成创伤，不会受到射线影响，且在检查完后，当月就能怀孕，其在诊治输卵管性不孕症方面具有很高的临床价值，可进一步推广应用。

[关键词] 经阴道B超；输卵管通液；临床价值

[中图分类号] R271.14[文献标识码] B[文章编号] 1674-4721（2014）04（c）-0156-03

Clinical application value of uterine hydrotubation with hydrogen peroxide solution by transvaginal B-ultrasound

LI Xue-mei DENG Qing

Department of Gynaecology and Obstetrics,Zhongkai District People′s Hospital of Huizhou City in Guangdong Province,Huizhou 516229,China

[Abstract] Objective To explore the diagnostic value of uterine hydrotubation with hydrogen peroxide solution by transvaginal B-ultrasound for the tubal patency of patients with infertility. Methods 220 patients with infertility admitted into our hospital form January 2012 to October 2013 were chosen and randomly divided into the observation group (n=110) and the control group(n=110).The observation group was diagnosed by uterine hydrotubation with hydrogen peroxide solution by transvaginal B- ultrasound while the control group was diagnosed by X-ray lipiodol radiography,the diagnostic effect of the two groups was observed,and the results were compared and analyzed. Results After 1 development,there was no statistical difference of tubal patency between the two groups (P＞0.05); after 4 developments,the rate of intrauterine pregnancy and tubal patency increased obviously and there was a statistical difference between the two groups (P＜0.05). Conclusion The uterine hydrotubation with hydrogen peroxide solution by transvaginal B-ultrasound in the diagnosis of infertile patients has relatively simple operation.Besides,it will not cause trauma to patients and will be unaffected by the rays;after the examination, the patients can be pregnant in the same month.Therefore,the method has high clinical value in the diagnosis and treatment of tubal infertility and can be further popularized and applied.

[Key words] Transvaginal B-ultrasound;Hydrotubation;Clinical value

在临床医学上，对不孕症进行诊断方面十分关键的一步是检查输卵管，利用传统输卵管通液术对患者进行检查效果并不是很理想，而利用经阴道超声检查能够对在输卵管中造影液的通过以及其流动等情况进行直接动态地观察，传统方法与现代仪器相结合，能够更加准确可靠地对患者进行检查。本研究选择2012年1月-2013年10月本院曾接诊的不孕症妇女220例，分别利用X线碘油造影与经阴道B超过氧化氢溶液子宫输卵管通液两种方法对其输卵管通畅情况进行检查，并比较两种检查方法的结果，现报告如下。……