Gordts S, Campo R, Rombauts L, Brosens I
Leuven Institute for Fertility and Embryology, Belgium.
Fertil Steril. 1998 Sep;70(3):523-6. doi: 10.1016/s0015-0282(98)00186-1.
To evaluate the feasibility of salpingoscopy as an office procedure using transvaginal access to the pelvic cavity.
Descriptive study.
Gynecology office.
PATIENT(S): Infertile women with no obvious pelvic pathology.
INTERVENTION(S): Transvaginal Veress needle puncture and peritoneal distension by saline.
MAIN OUTCOME MEASUREMENT(S): Visualization of distal tubal segment. cannulation, and salpingoscopy.
RESULT(S): The fimbriae were visualized in all patients. Cannulation of the distal tubal segment was achieved without manipulation of the tube in 20% before ovulation and 55% in the early luteal phase.
CONCLUSION(S): Transvaginal fimbrioscopy and salpingoscopy can be performed as an office procedure in patients without obvious pelvic pathology. In combination with hydrolaparoscopy and dye hydrotubation, the technique provides comprehensive screening of the tuboovarian structures in the early stage of infertility investigation.
评估经阴道进入盆腔进行输卵管镜检查作为门诊手术的可行性。
描述性研究。
妇科门诊。
无明显盆腔病变的不孕女性。
经阴道Veress针穿刺并用盐水扩张腹腔。
输卵管远端节段的可视化、插管及输卵管镜检查。
所有患者均可见输卵管伞端。在排卵前，20%的患者无需操作输卵管即可实现输卵管远端节段插管；在黄体早期，这一比例为55%。
对于无明显盆腔病变的患者，经阴道输卵管伞端镜检查和输卵管镜检查可作为门诊手术进行。该技术与腹腔镜注水检查和输卵管通液术相结合，可在不孕症检查早期对输卵管卵巢结构进行全面筛查。
