There are many reasons for fallopian tube blockage, but no matter what the cause is, it will affect the female body, especially the future fertility. Therefore, in order to better treat it, it is best to diagnose the disease in advance to understand the type and condition of fallopian tube blockage. How painful is fallopian tube fluid insufflation? Let’s understand the process together. Hydrotubation is a surgical procedure used to diagnose the patency of the fallopian tubes and treat some minor blockages. Traditional hydrotubation has many hazards, causing trouble to many patients and often misleading doctors' judgment. So, what are the dangers of traditional fallopian tube cannulation? First of all, the misdiagnosis rate is relatively high. After the cannulation, it is still impossible to determine the specific location of the blockage, nor the severity. There is also a high risk of fallopian tube rupture, which brings many difficulties to the treatment and also endangers the health of women. And the harms of traditional fallopian tube insufflation are more than that. Because the operation is performed without visual observation, the specific internal conditions cannot be seen, and many factors cannot be judged, so the help for treatment is very limited. In addition, it places extremely high demands on the operators. If they are not careful, they will hurt the patient's body and cause great pain. Here are his main processes: 1. The patient's bladder is in lithotomy position after urination. The vulva and vagina are routinely disinfected, sterile towels are laid, and bimanual examination is performed to understand the position and size of the uterus. Place a vaginal speculum to expose the cervix, disinfect the vagina and cervix again, clamp the anterior lip of the cervix with a cervical clamp, insert a cervical catheter along the direction of the uterine cavity, and make it fit tightly against the external os of the cervix. 2. Connect the cervical catheter to the pressure gauge and syringe with a Y-type pipe. The pressure gauge should be higher than the level of the pipe to prevent the injection fluid from entering the pressure gauge. 3. Fill the syringe with 20 ml of sterile saline (containing 80,000 units of gentamicin) and inject slowly. The pressure should not exceed 21.3 kpa (160 mmHg). If the fallopian tube is blocked, the patient will feel pain in the lower abdomen when 4-5 ml is injected. At this time, the pressure on the pressure gauge will continue to rise and not drop. If the fallopian tube is unobstructed, 20 ml of sterile saline is injected without any resistance, and the pressure is maintained below 8.0 kPa (60-80 mmHg). The patient does not experience abdominal distension or discomfort, and the pressure drops rapidly on its own after the injection stops, indicating that the injected liquid has successfully entered the abdominal cavity. The experiment was repeated and the situation was the same. You can also use a syringe to directly push the injection into the cervical catheter without a pressure gauge. |
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