Hammarberg K, Enk L, Nilsson L, Wikland M
Department of Obstetrics and Gynaecology, University of Göteborg, Sahlgren's Hospital, Sweden.
Hum Reprod. 1987 Aug;2(6):487-90. doi: 10.1093/oxfordjournals.humrep.a136575.
Follicle puncture under the guidance of ultrasound has now been used for some years. The most important advantage of the ultrasound-guided technique compared with the laparoscopic technique is that the former can be performed under local anaesthesia. However, both the trans-vesical and the perurethral ultrasound-guided puncturing routes may be quite painful for the patient. For that reason we have developed a trans-vaginal follicle puncture technique using a vaginal transducer. The aim of this study was to evaluate the patients' experience of pain with this new technique. Scanning of follicles was performed using a specially designed vaginal transducer that makes the patients having a full bladder unnecessary. Local anaesthesia was applied as a paracervical block. Follicles were then punctured through the vagina with a needle inserted through a needle guide attached to the transducer. Fifty-one patients answered a questionnaire about their experience of the puncture procedure. Only 10% of the patients found the puncture painful. Ninety-eight per cent of the patients felt no anxiety about going through the procedure again. We therefore conclude that trans-vaginal oocyte pick-up using a vaginal transducer is very well accepted by most women.
超声引导下的卵泡穿刺现已应用多年。与腹腔镜技术相比，超声引导技术最重要的优势在于前者可在局部麻醉下进行。然而，经膀胱和经尿道超声引导的穿刺途径对患者来说可能都相当痛苦。因此，我们开发了一种使用阴道探头的经阴道卵泡穿刺技术。本研究的目的是评估患者对这种新技术的疼痛体验。使用专门设计的阴道探头进行卵泡扫描，无需患者膀胱充盈。采用宫颈旁阻滞进行局部麻醉。然后通过连接在探头上的针导向器插入的针经阴道穿刺卵泡。51名患者回答了一份关于她们穿刺过程体验的问卷。只有10%的患者觉得穿刺疼痛。98%的患者对再次进行该操作没有感到焦虑。因此，我们得出结论，大多数女性对使用阴道探头经阴道取卵的接受度非常高。
