The analysis on wire intervention therapy under the guidance of hysteroscope and laparoscope in the treatment of 100 patients with tubal infertility

Objective:To explore the clinical significance of wire intervention therapy under the guidance of hysteroscope and laparoscope in the treatment of tubal infertility.Methods:the clinical data of 100 patients in our department from June 2007 to December 2010 was retrospectively analyzed,these patients undergone wire intervention therapy under the guidance of hysteroscope and laparoscope.The situation of tubal and Methylene blue liquid examination were observed under laparoscope,followed by COOK wire dredge operation for the blocked oviducts and therapeutic procedure under hysteroscope.Results:①8 cases out of 100 patients had membrane adhesion,the adhesion was separated and there was Methylene blue liquid outflowed from the bilateral tubal.12 cases had one side blockage,false positive of HSG was 14.06%.24 tubules underwent ostomy at the tubal ampulla umbrella.②57 patients(57%) were identified with pelvic lesion,and pelvic inflammation as the predominant reason,followed by endometriosis,polycystic ovary syndrome and tuberculosis.The procedures were consisted with adhesion decomposition,endometriosis clearance and drilling of the polycystic ovary.No procedures were tried for the least promising function recovery of severe adhesion.③Endometritis and polyps were the first and second lesions by hysteroscope.The procedures were consisted with adhesion decomposition of the endometriosis,fenestration of the oviducts and excision of polyps.No procedure was performed for the tuberculous scars.The pregnancy rates were accumulated to 41.8% in two years after operation.Conclusion:The wire intervention operation under the guidance of hysteroscope and laparoscope show a significance of diagnosis and therapy.The procedure time is shortened and more cost is saved,especially for the class Ⅰ blockage.It is also important for guiding the following therapy.