输卵管阻塞介入再通术疗效的观察
输卵管阻塞;选择性输卵管造影;输卵管再通术;不孕症,,],输卵管阻塞;选择性输卵管造影;输卵管再通术;不孕症,1资料与方法,2结果,3讨论,[参考文献]
[摘要] 目的 探讨经宫颈选择性输卵管造影(selective salpingography,SSG)和输卵管再通术(selective transcervical fallopian tube recanalization,STFTR)诊治输卵管阻塞性不孕的有效性和安全性。方法 对657例临床诊断不孕症的患者用76%泛影葡胺或Onimplecs(300 mgI/ml)行子宫输卵管造影(hysterosalpingography,HSG)并摄片，观察子宫角部位置和输卵管通畅情况。对其中231例证实为输卵管狭窄或阻塞原因所致不孕的患者，在X线透视监视下，通过同轴导管配合导丝技术经宫颈将5F导管选择性插至子宫角部或输卵管间质部，并借助0.018 in微导丝、3F微导管的扩张作用和药液的冲胀作用，使阻塞的输卵管再通，最后向输卵管内灌注消炎、抗粘连药物。结果 231例有449条输卵管狭窄或阻塞，行选择性输卵管造影和输卵管再通术，导丝均能选择性插入输卵管内，本组插管成功率达100%。427条输卵管介入治疗后再通，再通率达95.1%。术后随访1.5~12个月，有120例怀孕，怀孕率52%。结论 输卵管再通术是目前诊治输卵管阻塞性不孕最为安全、有效和简单、经济的一种非手术性的微创治疗方法。[关键词] 输卵管阻塞;选择性输卵管造影;输卵管再通术;不孕症
To observe effect of selective transcervical fallopian tube recanalization
LI Weiping,LIN Liuyi.Department of Radiology,Zhongye Hospital of Shanghai,Shanghai 200941,China
[Abstract] Objective To evaluate the safety and efficacy of selective salpingography (SSG)combined with selective transcervical fallopian tube recanalization (STFTR)for the diagnosis and treatment of the infertility caused by tubal obstruction. Methods 657 cases were diagnosed the infertility,of 231 cases confirmed the tube blocked by hysterosalpingogram (HSG) infusing 76% meglumine diatrizoate or onimplecs(300 mg/ml),then a 5-F catheter was steered into the corner of the uterus or the interstitial portion of the fallopian tube in Xray.The antibiotic and anticonglutinant drug were infused into the fallopian tube .Results Of 231 cases,427 of the 449 tubes were recanalized. effective rate was 95.1%,120 cases followed up 1.5~12 months.The pregnant rate was 52%. Conclusion STFTR is a safe,simple and effective procedure for the diagnosis and treatment of tubal obstruction. ......
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