fallopian tube fluidization

The tubal fluid is a method of patency of the fallopian tube that was established 80 years ago. With the development of medical science, it has completed its historical history, and it can still be in some areas or hospitals with poor medical conditions. This method is applied as a routine examination method for diagnosing tubal patency and a method for treating fallopian tube dysfunction. This method is injected into the uterine cavity from the cervix using methylene blue or normal saline. Then from the uterine cavity into the fallopian tube, according to the size of the resistance when the injection of liquid and the reflux of the liquid, determine whether the fallopian tube is smooth. Through the certain pressure of the liquid, the obstructed fallopian tube is restored smoothly. Treatment of diseases: fallopian tube obstruction Indication 1. Various primary or secondary infertility. 2. After infertility surgery, prevent adhesion formation and measure the surgical effect. 3. Unblock the mild adhesion of the fallopian tubes. 4. Therapeutic liquid: starting from 3 to 7 days after menstruation, 6 times for a course of treatment, a course of treatment per month. The drug is 400,000 U of penicillin and 0.5 to 1 g of streptomycin (all need to be tested for allergy first). Hyaluronidase 150U was dissolved in 10-20 ml of physiological saline, and further angiography was performed after 3 courses of treatment to determine the therapeutic effect. Contraindications 1. The menstrual cycle disorder has not been corrected. 2. There is a genital tumor in the pelvic cavity. 3. Inflammation of the reproductive organs: acute or chronic recurrent episodes, drug treatment has not been controlled. 4. The general condition is poor, there are serious diseases such as heart, brain, lung, liver and kidney, and there are taboo pregnancy diseases. 5. During menstruation or irregular vaginal bleeding. 6. It has been clearly identified as a male infertility. Preoperative preparation 1. Time selection: 3 to 7 days after menstruation is clean, 3 days before surgery, sex life is prohibited, and sex life is prohibited within one month after surgery. 2. Those who have not been pregnant by various tests. 3. Preoperative examination of leucorrhea routine, blood, urine routine and body temperature, blood pressure. Surgical procedure 1. Empty the bladder, take the bladder lithotomy position, disinfect the vulva and vagina, and sterilize the surgical towel. 2. Double examination to understand the size, orientation, texture, activity, shape and relationship with the surrounding organs, and whether there are any abnormalities on both sides of the attachment. 3. Place the speculum, expose the cervix, disinfect the vagina and the cervix, clamp the anterior lip of the cervix with a cervical clamp, and pull outward to make the uterus horizontal. 4. Gently probe the uterus with the uterus probe in the direction of the uterus, measure the depth and confirm the degree of flexion and size. 5. Check that the liquid passing device is perfect without leakage. 6. Insert the uterine fluid catheter into the neck tube according to the direction of the probe detection, fix it at the preselected depth, and use the tissue clamp to clamp the anterior lip of the cervix to pull the cervix outward, and at the same time push the conical head of the liquid guiding catheter inward. The two are tightly nested. The syringe was filled with a syringe containing 20 ml of solution. If 20 ml of liquid was injected smoothly, there was no resistance, no leakage outside the cervix, and the patient had no obvious discomfort, indicating that the fallopian tube was unobstructed. 7. In case of resistance, a little pressure, the patient can be injected smoothly with slight abdominal discomfort, and there is no leakage at the external cervix, indicating that the original adhesion has been separated or removed. 8. When the liquid is in use, the stethoscope can hear the sound of liquid coming out from the umbrella end of the fallopian tube on both sides of the lower abdomen. 9. When the resistance is large, the liquid overflows from the external cervix, and the abdominal distension is unbearable. Most of the fallopian tubes are completely unreasonable.

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