fallopian tube

Fallopian tube mirror is mainly used for the examination of infertility patients, for direct observation of fallopian tube lesions, to provide evidence for the causes of fallopian tube stenosis, obstruction and other diseases, in preparation for the selection of follow-up treatment methods. Early diagnosis of ectopic pregnancy and localization can be terminated by catheter injection of drugs. It is mainly used for the treatment of female infertility. It is an endoscope that can directly enter the fallopian tube. The condition of the lesion is directly presented to the doctor through the port lens, and the image can be recorded. A direct evaluation of the extent of endometrial lesions and lesions in the fallopian tube. It can be introduced into the oviduct cavity under hysteroscopy or laparoscopic guidance (or alone) to observe the morphology of the endometrium in the fallopian tubes and to understand the normal anatomy and physiology of the fallopian tube. Pathological changes improve the accuracy of diagnosis of fallopian tube lesions. Fallopian tube mirror can diagnose and treat various fallopian tube diseases such as hydrosalpinx, adhesion, and blockage. Basic Information Specialist classification: gynecological examination classification: endoscope Applicable gender: whether women are fasting: not fasting Tips: It is advisable to check 3-7 days after menstruation, because the endometrium is thinner, which is helpful for the identification of the fallopian tube opening. Normal value Image recording is normal. Clinical significance Abnormal results: Image recording can diagnose and treat various fallopian tube diseases such as hydrosalpinx, adhesions, and occlusion. People who need to be checked 1. At present, fallopian tube mirrors are most commonly used for the diagnosis and treatment of infertility patients caused by suspicious lesions at the proximal or distal end of the fallopian tube. 2. Tubal exploration of unexplained infertility. 3. Diagnosis and guidance of ectopic pregnancy of the fallopian tube. 4. In vitro fertilization • Embryo transfer (1VF-ET). 5. Iodine oil or iodine water allergy is not suitable for patients with hysterosalpingography can directly go fallopian tubeoscopy. Positive results may be diseases: fallopian tube obstruction, hydrosalpinx, salpingitis, complications after tubal ligation, tubal obstruction infertility, female infertility, fallopian tube adhesions Taboo before inspection: 1. Apply antibiotics for 3 to 5 days before surgery. 2, at the end of menstruation 3 to 7 days check is appropriate, because the endometrium is thinner at this time, which is conducive to the identification of the fallopian tube opening. 3, generally do not need anesthesia during surgery, can be given appropriate sedatives. If laparoscopic is performed at the same time, general anesthesia can be used. Requirements for inspection: 1, 2 weeks after surgery, bathing and sex life are prohibited, and antibiotics can be given as appropriate to prevent infection. 2, if a small amount of vaginal bleeding within one week after the fallopian tube examination, but no other symptoms, it is a normal phenomenon; if the amount of bleeding is greater than the amount of menstruation or other symptoms, need to review. Inspection process Specific steps of the fallopian tube examination: Operation 1: Laparoscopy, the following operations can be performed in the uterus and fallopian tubes. effect: 1) Prevent the fallopian tube from rupturing when the fallopian tube is inserted. 2) Ensure the expansion of the fallopian tube. 3) Keep the fallopian tube mirror in the center of the fallopian tube to ensure the observation effect. Operation 2: Do hysteroscopy 1. Determine the position of the fallopian tube opening to prepare for the insertion of the catheter. 2. Provide support and instrument passage for the fallopian tube. Observe the hysteroscope with a bracket after observing one side of the fallopian tube (so that the doctor can free his hands for later operation). Operation 3: Place the uterine catheter through the hysteroscopic working channel so that the catheter port is in front of the fallopian tube. Operation 4: The guidewire is placed in the fallopian tube and fixed, and the fallopian tube is inserted inwardly along the uterine catheter with flushing with Ringer's solution. The entry is stopped when the guidewire encounters resistance or the guidewire entry portion separates 15 cm from the opening of the fallopian tube. Operation 5, the guide wire is withdrawn, the fallopian tube mirror is inserted, the end is flush with the catheter, and the side is retracted for observation. Not suitable for the crowd The following patients are prohibited from using this check: (1) Inflammation of the reproductive organs or acute or subacute attacks of chronic pelvic inflammatory disease. (2) menstrual or uterine bleeding. (3) Intrauterine pregnancy and want to continue pregnancy. (4) There are serious heart and lung diseases. (5) The tubal is severely blocked and stones. Adverse reactions and risks Nothing.

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