输卵管阻塞的介入治疗

INTERVENTIONAL THERAPY OF FALLOPIAN TUBE OBSTRUCTION

目的：为明确输卵管阻塞的部位及程度，提供一种安全、可靠、成功率高的治疗方法。方法：用自制的输卵管再通器具对52例病人共89条输卵管作选择性造影，并对其中75条间质部或峡部阻塞的输卵管作再通术，术后抗炎及定期输卵管通液治疗。结果：插管成功率为91％，再通成功率为81．3％，无严重并发症。结论：该技术操作简单，集诊断及治疗于一体，成功率高，病人痛苦少，是诊治输卵管阻塞的首选方法。

Ti determine the location and degree of fallopian tube obstruction, and to find a safer and more efficient treatment for the obstruction- Methods: With home-made recanalization device, 89 obstracted fal-lopian tubes of 52 infertile women were treated with selective salpingography, and 75 proximal obstructed tubes in 89 were treated with recanalization. After operations, the patients were treated with antlbacteria and solution therapy to maitaln the tube fluency. Results: Selectlve catheterization was accomplished in a rate of 91 %; re-canalization was successful in 81.3 % of proximal tube obstoaction without severe comlications. There were 5 pa-tients who got pregnant in the fallow-up. Cinclusiin: This technic is safer and more efficient than the currently used methods and can be the first choise in diagnosis and treatment of fallopian tube obstruction.