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[500例子宫输卵管造影术评估,特别涉及输卵管性不孕]

[Evaluation of 500 hysterosalpingograms with special reference to tubal sterility].

作者信息

Hofmann R, Schröder S, Meinkies M

出版信息

Zentralbl Gynakol. 1985;107(10):605-10.

PMID:4013543
Abstract

457 hysterosalpingograms out of 500 could be analysed which were made from sterility patients of the women's clinic, Wilhelm-Pieck-University Rostock, in the period from 1973 to 1980. A normal uterine cavity was found in 395 cases (86.7%), having a tubal patency on both sides (54%). In 8.7% of the cases only the right tube and in 11% only the left tube was patent for contrast medium. In 48 cases there was a tubal occlusion on either side. Uterus arcuatus was diagnosed in 7%, uterus bicornis in 4% and uterus duplex as well as uterine fibromyoma in 0.5% of the cases. Intracavitary processes were evident only in 6 patients. Abnormal long tubes could be found in 79 cases, tubes in high positions in 87 cases, and rigid and very short tubes in 95 cases. In 176 cases a sactosalpinx could be diagnosed. Ampullar tubal occlusion at one side was observed in 105 cases, and the same one in 49 cases on both sides. Following the hysterosalpingography 71 from a total of 122 pregnancies occurred within a period of 6 months, without any additional treatment being carried out in 32 patients.

摘要

对罗斯托克大学威廉·皮克妇产诊所1973年至1980年期间不育女性患者所做的500例子宫输卵管造影中的457例进行了分析。395例(86.7%)子宫腔正常,双侧输卵管通畅(54%)。8.7%的病例仅右侧输卵管通畅,11%的病例仅左侧输卵管通畅。48例双侧输卵管均堵塞。7%的病例诊断为弓形子宫,4%为双角子宫,0.5%为双子宫及子宫肌瘤。仅6例有腔内病变。79例发现输卵管过长,87例输卵管位置高,95例输卵管僵硬且很短。176例诊断为输卵管积水。105例观察到一侧壶腹部输卵管堵塞,49例双侧均堵塞。子宫输卵管造影后,122例中有71例在6个月内怀孕,32例未进行任何额外治疗。

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