经阴道选择性输卵管再通术治疗不孕症

A Study of Infertility Treated with Transcervical Fallopian Tube Catheterization and Recanalization

经阴道输卵管导管扩通术是目前国际上治疗输卵管阻塞性不孕症的最先进方法,本文报告对50例输卵管阻塞性不孕症患者行此项治疗的研究结果。先行子宫造影,再行选择性输卵管口部造影,明确阻塞部位后行输卵管导管扩通术,再行造影观察其通畅程度。本组共95条输卵管行扩通术,3条扩通失败,1例穿孔,扩通有效率为94％,通畅度达Ⅵ度者占29％,Ⅴ度者占40％;宫腔剩余压由术前16.1±5.8kPa降为11±6.45kPa;11例妊娠,妊娠率为22％;14条输卵管发生再粘连,再粘连率为15％。作者还就此项技术的机理,适应证与妊娠率、禁忌证、并发症等进行了深入地探讨。此技术可作为近段输卵管阻塞的首选再通方法,并可达到诊断与治疗的双重目的。

A technique of transcervical fallopian tube catheterization and recanalization involving use of a new vacuum hysterograph and coaxial catheter set was described. 50 women (aged 25～44 years) with primary or secondary infertility were investigated, recanalization was successful in 94% out of 95 tubes, the gestational rate was 22%. Recanalization was not successful in 3 tubes with another unsuccessful attempt resulted in a tubal perforation but without apparent clinical effects.