Mesh : Clinical Trials as Topic Contraception / instrumentation methods Fallopian Tube Diseases / complications diagnosis therapy Fallopian Tube Patency Tests / instrumentation methods Female Fluoroscopy / instrumentation methods Gamete Intrafallopian Transfer / instrumentation methods Humans Hysterosalpingography / instrumentation methods Hysteroscopes Hysteroscopy / methods Infertility, Female / etiology Insemination, Artificial / instrumentation methods Pregnancy Pregnancy Outcome

来  源:   DOI:10.1097/00006254-199311000-00026   PDF(Sci-hub)

Abstract:
Rapid progress has been made in the last 10 years regarding minimally invasive access to the human fallopian tube. Coaxial catheter systems are being used with hysteroscopy, fluoroscopy, ultrasonography, and tactile sensation to cannulate the fallopian tube transcervically with consistent success. Uterotubal obstruction viewed at the time of hysterosalpingogram can often be successfully cannulated with intrauterine pregnancies resulting. This review surveys all available published series of transcervical tubal cannulation with discussion of methodology, success in establishing patency, and the resultant pregnancy rates. It also describes how this technology has been applied to the intratubal deposition of gametes and embryos, direct visualization of the tubal epithelium, (falloposcopy), and contraception. Collectively, these techniques are defining tubal pathology more precisely, allowing us to prescribe the proper therapy.
摘要:
在过去的10年中,关于微创进入人体输卵管的进展迅速。同轴导管系统与宫腔镜一起使用,透视,超声检查,和触觉,以持续成功的方式经宫颈插管输卵管。子宫输卵管造影时观察到的输卵管阻塞通常可以成功插入宫内妊娠。这篇综述调查了所有可用的已发表的经宫颈输卵管插管术系列,并讨论了方法,成功建立开放,以及由此产生的怀孕率。它还描述了该技术如何应用于配子和胚胎的输卵管内沉积,输卵管上皮的直接可视化,(floposcopy),和避孕。总的来说,这些技术更精确地定义了输卵管病理学,让我们开出合适的治疗方案.
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