RU1773383C - Tubular infertility diagnosis method - Google Patents

Abstract

The invention relates to medicine, in particular to gynecology. The purpose of the invention is to improve the accuracy of diagnosis. Capture melt the cervix with bullet forceps. A rubber catheter is inserted into the bladder. The bladder is filled with 1: 5000 furatsilin rum at 38 ° C under ultrasound control. At the same time, the uterus is displaced by bullet forceps. A clear visualization of the posterior fornix is achieved in which the absence or presence of fluid and its amount are evaluated. A Mandelstam tip is inserted into the cervical canal, physiological saline is supplied from the uterus and tubes at 38 ° C under a pressure of 60-600 mm Hg through it. Art. The contours of the uterus, the size and shape of its cavity, the patency of the fallopian tubes and their peristalsis are evaluated. The output is the Mandelstam tip. Gradually empty the bladder along the catheter, continue scanning, at the same time displace the uterus with bullet forceps, and achieve a clear visualization of the posterior fornix. Diagnose obstruction of the fallopian tubes in the absence of fluid in the posterior vault. (L

Description

The invention relates to medicine, in particular to gynecology, and can be used to diagnose female infertility.

A known method for diagnosing peritoneal infertility is that during echogmdrotubation with bullet forceps, the cervix is vibrated, the uterine tubes are replaced, and their patency is determined. A disadvantage of the known method is the lack of accuracy due to the fact that in some cases the fallopian tubes are not visualized by ultrasound.

The purpose of the invention is to improve the accuracy of diagnosis, which is achieved by filling and subsequent emptying of the bladder retrograde through a catheter with

simultaneous displacement of the uterus by bullet forceps, and tubal infertility is diagnosed in the absence of fluid in the posterior vaginal vault.

The method is carried out as follows.

The cervix is captured by bullet forceps. A rubber catheter is inserted into the bladder. The abdominal wall is lubricated with liquid paraffin. Under the control of ultrasound, the bladder is filled with a sterile solution of furatsilin (1: 5000), heated to 38 ° C. At the same time, the uterus is displaced by bullet forceps. A clear visualization of the posterior fornix is achieved in which the absence or presence of fluid and its amount are evaluated. Mandelstam's tip is inserted into the cervical canal, through which isotonia and uterine tubes are fed into the uterus. "&Amp; Xj

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a sodium chloride solution under pressure from 60 to 100 mm. Hg. St., at 38 ° C. The contours of the uterus, the size and shape of its cavity, the patency of the fallopian tubes and their peristalsis are evaluated. The output is the Mandelstam tip. With continued scanning, the bladder is gradually emptied along the catheter with the simultaneous displacement of the uterus by bullet forceps, and a clear visualization of the posterior fornix is achieved. In the absence of fluid in the posterior arch, obstruction of the uterine tubes is diagnosed.

The essence of the method is illustrated by the following examples.

Example 1. Sick M., 33 years old, suffers from secondary infertility for 6 years, a history of artifical abortion, bilateral chronic adnexitis. As a result of the previous examination, the endocrine causes of infertility were excluded. Echohydrotubation was performed to diagnose patency of the fallopian tubes. At the same time, it was established that the uterine body is in the position of zephlexia, dimensions are 62x48x52 mm, the right ovary is 35x28 mm, the left is 30x32 mm, of the usual structure, both HP fallopian tubes are visualized. By the proposed method, the position of the uterus in the small pelvis was changed by regulating the filling of the bladder before and after hydrotubation to visualize the posterior fornix. No fluid was found in the posterior vault either before or after the hydrotubation. The conclusion is drawn about the pipe form of infertility. The patient is recommended reconstructive surgery on the fallopian tubes,

PRI me R 2. Sick 3., 25 years old, suffers from primary infertility for 4 years, a history of bilateral chronic adnexitis. To diagnose patency of the fallopian tubes, echo hydrotubation was performed. It was established that the uterine body is in the anteflexia position, dimensions 58x50x42 mm, right ovary 35x38 mm, left 38x39 mm with small cystic changes, both fallopian tubes are not visualized. By the proposed method, the position of the uterus in the small pelvis was changed by regulating the filling of the bladder before and after hydrotubation to visualize the posterior fornix. In this case, there was no fluid in the posterior arch before the hydrotubation; after the hydrotubation, its presence was determined. A conclusion is drawn on the patency of the fallopian tubes. The patient was recommended a consultation with a medical expert.

This method was tested on 119 patients.

Claims (1)

The claims A method for diagnosing tubal infertility by hydrobubbing and echography against the background of a filled bladder, distinguished by the fact that, in order to increase the accuracy of the method, the filling and subsequent emptying of the bladder is performed retrograde along the catheter with simultaneous displacement of the uterus by bullet forceps and in the absence of fluid in the posterior arch, tube infertility is diagnosed,