输卵管通液术与子宫内膜异位症和盆腔感染关系

目的：探讨输卵管通液术可能出现的不良影响。方法：直视下行输卵管通液术,收集输卵管流出液作巴氏染色,需氧菌及厌氧菌培养,进行宫内膜细胞及细菌学的检查。结果：检出宫内膜细胞60.67%（63/104）,对月经周期中不同时间通液进行比较,发现各时间段宫内膜细胞的检出率之间差异无显著性意义。检出细菌31.73%(33/104)。但27例需氧菌及厌氧菌培养均为阴性。结论：通液术将宫内膜细胞带入盆腔可能是造成子宫内膜异位症的原因,它还有引起感染的危险性。

The Relationship between Tubal Batent Test and Endometriosis and Pelvic Infection

Objective:To study the side effect of tubal patent test.Methods:During the surgical procedure,we performed tubal patent test by liquid instillation and collected the liquid overflowing from the tubals.Using Papanicolaou's stain,aerobes and anaerobes culture to test the endometrial cells and bacteria,respectively.Results:Endometrial cells were found in 66 67%(63/104),but there was no significantly difference when compared with the positive rate of endometrial cells at different time in menstrual cycle.Bacteria were found in 31 73%(33/104),but we failed to isolate bacteria by culture in 27 cases.Conclusion:Tubal patent test which takes the endometrial cells into pelvic cavity may be the cause of endometriosis.Besides,it may have the risk of infecting.