Fallopian tube fluid examination

Tubal drainage is a method to determine whether the fallopian tube is patency, and has a certain therapeutic effect. Examination method Patients take bladder lithotomy position after urination, disinfection, drape, vaginal examination, exposure of the cervix, clamping of the cervix, insertion of a catheter. Connect the cervical catheter to the pressure gauge and the syringe with a Y-shaped connection. The pressure gauge should be above the level of the nozzle to prevent the injection from entering the pressure gauge. The syringe is filled with 20 ml of sterile physiological saline (containing 80,000 U of gentamicin), and the bolus is slowly injected, and the pressure should not exceed 160 mmHg. If the fallopian tube is occluded, when the patient injects 4-5ml, the patient feels pain in the lower abdomen. At this time, the pressure on the pressure gauge continues to rise, and there is no drop. Basic Information Specialist classification: gynecological examination classification: other inspection Applicable gender: whether women are fasting: not fasting Tips: Forbidden sex and bath in two weeks after surgery, and apply antibiotics as appropriate. Normal value The fallopian tube is relatively smooth. There is no resistance to inject 20ml of sterile saline. The pressure is maintained below 60Q80mmHg. The patient has no discomfort and discomfort. After stopping the injection, the pressure drops rapidly and it means that the injected liquid has entered the abdominal cavity smoothly. The trial and error situation is the same. It is also possible to use a pressure gauge to directly push a syringe into the cervical catheter. Where there is no resistance after slowly injecting 20ml of normal saline, the patient has no discomfort, indicating that the fallopian tube is relatively smooth. Clinical significance Reluctance to inject less than 10ml is blocked (not easy to advance, while the patient feels abdominal pain), the liquid is returned to the syringe after stopping the bolus, indicating the fallopian tube wall plug. After the injection by pressure, it can be gradually advanced, indicating that the original mild adhesion of the fallopian tube has been separated. To identify which side of the fallopian tube obstruction, the stethoscope can be placed in the lower abdomen corresponding to the fallopian tube in the process of fluid passage. If the sound of the liquid over the water can be heard, it indicates that the fallopian tube is relatively smooth. Indication 1. Primary or secondary infertility has a fallopian tube obstruction. 2. Test and evaluate the effects of tubal sterilization, fallopian tube recanalization and fallopian tubeplasty. 3. There is a dredge effect on mild adhesion of the fallopian tube lumen. 4. After the fallopian tube recanalization, the drug solution can be injected through the official cavity to prevent adhesion at the anastomosis to ensure the surgical effect. Low results may be diseases: fallopian tube lift, fallopian tube obstruction infertility, fallopian tube adhesion, salpingitis, fallopian tube obstruction, fallopian tube malformation, tubal hydrops, tubal infertility Precautions (1) The temperature of the physiological saline for injection should be close to the body temperature, so as to prevent the liquid from being too cold to stimulate the fall of the fallopian tube. (2) Make sure that the cervical catheter is attached to the external cervix during injection to avoid leakage of liquid. (3) Forbidden sex and bathing within two weeks after surgery, and apply antibiotics as appropriate. Inspection process 1. Menstruation is clean for 3 to 7 days. 2. Subcutaneous injection of atropine 0.5mg before surgery. 3. Take the bladder lithotomy position and rinse the vulva vagina. Disinfect the cervix and clamp the cervix. Place the liquid-passing device and slowly inject 20 to 30 ml of sterile physiological saline. 4. Judging criteria (1) Unobstructed: the injection is smooth, no resistance, no reflux. (2) It is not smooth: it can be injected mostly, with a little resistance and a little reflux. (3) Nowhere: resistance is too large, can not be injected, or most of the reflux. Not suitable for the crowd 1. When the internal and external genital organs are acutely inflammatory or subacute. 2. Menstrual period or have uterine bleeding. 3. There are serious systemic diseases, such as the heart can not tolerate surgery. Chronic pelvic inflammatory disease, acute pulmonary dysfunction. Adverse reactions and risks It may cause accidents such as chest tightness, shortness of breath, convulsions and even coma.