输卵管通畅试验是诊断输卵管疾病、输卵管堵塞部位或判定输卵管成形术、吻合术等术后是否通畅的试验方法,广泛应用于妇科及计划生育科。此种试验包括输卵管通气,通液,B 超下注入双氧水以及输卵管造影等。上述方法各有其特点及适应证,实际的应用价值不同,试比较如下。一、输卵管通气法:此法较古老,1929年Rubin 首先报道用此法检查输卵管的功能,并且由Rubin 研制了金属的子宫卵臂通气导管,至今仍在使用。原始的方法是用气球向子宫输卵管腔内注入空气,因曾引起空气肺栓塞造成死亡的例子,后改用CO_2气;又因CO_2来源不足,五、六十年代仍通入空气。通气是在压力表监测下进行,每分钟注入60ml 气体,当压力上升到80mmHg(10kPa)左右停止注气,观察压力的变化,如自然下降至30～50mmHg,可判断输卵管通畅;如压力不降可继续注入气体,如压力达150mmHg 以上不自 Tubal patency test is the diagnosis of tubal disease, tubal plug site or determine the tubal plasty, anastomosis and other postoperative patency test method is widely used in gynecology and family planning department. Such tests include tubal ventilation, fluid, B ultrasound injection of hydrogen peroxide and tubal angiography. The above methods have their own characteristics and indications, the actual application of different values, the trial is as follows. First, tubal ventilation method: This method is more ancient, Rubin was first reported in 1929 with this method to check the function of the fallopian tubes, and developed by Rubin metal uterine arm ventilation catheter, is still in use. The original method is to use balloons to inject air into the lumen of the uterus into the fallopian tube, resulting in death from air-borne pulmonary embolism. Afterwards, CO 2 gas was used instead of CO 2. In the 1950s and 1960s, air was still introduced. Ventilation is carried out under pressure gauge monitoring, 60ml of gas injected per minute, when the pressure rises to 80mmHg (10kPa) to stop gas injection, observe the pressure changes, such as natural decline to 30 ~ 50mmHg, tubal patency can be judged; Can continue to inject gas, such as pressure above 150mmHg not from