子宫输卵管造影及介入再通术的应用价值

Clinical application value of fallopian tube recanalization and hysterosalpingo graphy

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）在输卵管阻塞性不孕中的应用价值。方法对468例临床诊断不孕症的患者行子宫输卵管造影（hysterosalpingo graphy，HSG）。对其中326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问质部，并借助0.018in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326例有639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95.4％。结论输卵管再通术简单快速，安全有效，经济实用，值得推广。

Objective To evaluate the diagnostic value of selective salpingography and selective transcervical fallopian tube recanalization in infertility caused by salpingian ohstraction. Methods 468 cases were diagnosed the infertility, of 326 cases confirmed the tube blocked by hysterosalpingogram （HSG） , then 5 - F catheter was steered into the comer of the uterus or the interstitial portion of the fallopian tube in X - ray. The antibiotic and anticonglutinant drug were infused into the fallopian tube. Results 326 eases of the 639 cases tubes were recanalized, effective rate was 95.4%. Conclusion STFTR is a safe, elective, economic and practical for infertile women with quick procedure process, and worthy to be reeommonded.