Wiegerinck M A, de Laat W N, Moret E
Fertil Steril. 1986 Mar;45(3):434-6. doi: 10.1016/s0015-0282(16)49234-4.
A new culdocentesis system is presented, based on vacuum fixation of the posterior vaginal wall together with Douglas peritoneum in a small vacuum cup, enabling a controllable central perpendicular puncture with a special catheter-needle unit. The advantages of the new system are the creation of a relatively safe and painless access to the pouch of Douglas, less risk of contamination, the possibility of repetitive examinations, and satisfactory effectiveness in collecting peritoneal fluid. The results of 164 culdocenteses in ambulant infertility patients are reported. Application of the technique is proposed for the investigation of sperm migration in vivo, steroid analysis of peritoneal fluid, and intraperitoneal insemination.
本文介绍了一种新的后穹窿穿刺系统，该系统基于在一个小型真空杯中对阴道后壁及Douglas腹膜进行真空固定，从而能够使用特殊的导管针装置进行可控的中心垂直穿刺。新系统的优点包括：能相对安全、无痛地进入Douglas陷凹；污染风险较低；可重复检查；收集腹腔液的效果令人满意。报告了对164例门诊不孕症患者进行后穹窿穿刺的结果。建议将该技术应用于体内精子迁移研究、腹腔液类固醇分析及腹腔内授精。
