选择性输卵管造影和再通术20例临床应用

Clinical application of selective salpingography and fallopian tube recanalization

目的:探讨选择性输卵管造影术(SSG)及再通术(FTR)的诊断及治疗效果。方法:2002年6月～2003年12月对20例经子宫输卵管造影术(HSG)诊断的输卵管阻塞不孕症患者行SSG及FTR诊治。结果:经过SSG及FTR后且随访半年。20例中妊娠7例,妊娠率35%,均属自然妊娠。双侧阻塞组13例中有4例妊娠,占30.8%;单侧阻塞组7例中有3例妊娠,占42.9%。即单侧阻塞组妊娠率高,与双侧阻塞组相比差异有显著性意义(P<0.01)。结论:SSG与FTR因操作简便,疗效确实,适于临床应用。

Objective To explore the value of diagnosis and treatment of selective salpingography(SSG)and fallopian tube recanalization(FTR). Methods 20 cases of obstruction were diagnosed by hysterosalpingography (HSG),SSG and FTR were performed from June 2002 to December 2003. Results After SSG and FTR,7 of 20 patients who were followed up for half year got pregnancy without contraception. The rate of pregnancy was 35%. All cases got pregnancy naturely,4(30.8%)in the 13 bilateral fallpian tube obstruction and 3(42.9%)in the 7 unilateral fallopian tube obstruction got pregnancy. The pregnancy rate in the unilateral obstruction cases was significantly higher than that in bilateral obstrnction cases(P<0.01). Conclusion The operation of SSG and FTR are simple with definite value,so they are suitable for clinical application.