输卵管阻塞介入性再通术治疗的探讨

A Further Study on the Interventional Tubal Recanalization

目的:对输卵管阻塞性不孕症采用介入性输卵管再通术治疗,并评价其治疗效果。方法:对72例不孕症患者进行选择性输卵管再通术及术后通水,术后追踪随访6个月。结果:Ⅰ型输卵管阻塞再通成功率100%,Ⅱ型输卵管阻塞手术再通成功率37.5%;受孕率前者26.5%,后者为0%。结论:Ⅰ型输卵管阻塞介入性输卵管再通术疗效较好,该技术操作安全简单,成功率高,应为治疗的首选方法。

Objective： To explore the efficacy of the interventional recanalization for infertile women with fallopian tube obstruction. Methods： 72 patients with tubal obstruction were treated with interventional tubal recanalization and with drug irrigation. All cases received follow-up observation in 6 months. Results： The successful rates of recanalization and pregnant rates of type Ⅰ and type Ⅱ were 100% ,37.5% and 26.5% ,0% respectively. Conclusion：The type Ⅰ interventional tubal recanalization is a simple, safe and more effective method. It should be the choice of treatment for fallopian tube obstruction.