Effect of Hysteroscopic Tubal Catheterization and Hydrotubation on Tubal Obstructive Infertility and Its Impact on Uterine Artery Blood Flow Pa-rameters
ZHANG Lijing
HU Xiaoli
WANG Haibo
LI Ping
LU Caihong
ZHAO Xia
Abstract：Objective To explore the effect of hysteroscopic tubal catheterization and hydrotubation on tubal obstruc-tive infertility and its impact on uterine artery blood flow parameters.Methods A total of 236 patients with tubal obstructive infertility treated from March 2019 to June 2021 were selected.According to random number method,the patients were divid-ed into CG group and EG group,with 118 patients in each group.The CG group was given traditional tubal fluid catheteriza-tion and hydrotubation,and the EG group was given hysteroscopic tubal catheterization and hydrotubation.The clinical effica-cy,uterine artery blood flow parameters,stress response indicators,complication rate and 1-year follow-up pregnancy of the two groups were evaluated.Results The total effective rate of EG group was 97.46%(115/118),which was higher than that of CG group 81.36%(96/118,P＜0.05).At 3 d after surgery,the level of hypersensitive C-reactive protein in the two groups was higher than that before surgery,which,however,was lower in EG group than in CG group(P＜0.05).After sur-gery,uterine arterial resistance index and the value of peak systolic flow velocity/end-diastolic flow velocity in the two groups were lower than those before surgery,and lower in EG group than in CG group(P＜0.05),but there were no significant in-tergroup and intragroup differences in pulse index(P＞0.05).The total incidence of postoperative complications in EG group was lower than that in CG group(P＜0.05).The pregnancy rate one year after operation in EG group was higher than that in CG group,and the mean pregnancy time was shorter than that in CG group(P＜0.05).Conclusion In the treatment of pa-tients with tubal obstructive infertility,hysteroscopic tubal catheterization and hydrotubation can improve the recurrence rate,optimize the uterine artery blood flow,increase the pregnancy rate,with minimal trauma and mild postoperative stress re-sponse,and reduce the incidence of complications.
Keywords：Tubal obstructive infertilityHysteroscopyTubal hydrotubationUterine arteryBlood flow parametersHypersensitive C reactive proteinComplicationsGestation
Publication Date：2025-02-27
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：5( 66-70 )