透视导向下输卵管阻塞性不孕的介入治疗

Interventional therapy with fluoroscopic guidance for treatment of in fe rtility due to fallopian tubes obstruction

目的:探讨透视导向下输卵管阻塞性不孕介入治疗的方法及疗效。方法:在数字减影X光机下,采用COOK公司生产的子宫导管经子宫颈行输卵管阻塞介入治疗,术后给予口服药物以维持疗效。结果:36例输卵管阻塞接受介入治疗后,32例(88.9%)获得成功,治疗后怀孕11例(30.6%)。结论:透视导向下输卵管阻塞介入治疗技术疗效确切,配合药物治疗效果满意,为输卵管阻塞所致不孕探索了新的综合治疗方法。

Objective：To explore the effect of interventional therapy with fluoroscopic guidance in treatment of infertility caused by fallopian tubes obstruction. Methods： Thirty-six patients with fallopian tubes obstruction received transcervical fallopian tube reeanalization （T-FTR） with fluoroscopic guidance under the DSA. The uterine catheter devised by COOK was used during the interventional procedure. The reeanalized patients were given drugs to keep effect. Results： The fallopian tubes of 32（88.9% ） of all the 36 patients were successfully opened by T-FTR and 11 （30.6 % ） patients conceived. Conclusions： lnterventional therapy with fluoroscopic guidance combining drug treatment is effective for infertility caused by tubes obstruction, and is a new multi-approach to the disease.