选择性输卵管造影术及输卵管阻塞介入治疗

Selective Salpingography and Interventional Therapy for Fallopian Tube Obstruction

目的：探讨选择性输卵管造影术（SSG）的诊断及输卵管阻塞介入再通术（FTR）的治疗效果。材料与方法：对32例经子宫输卵管造影术（HSG）诊断为输卵管阻塞不孕症患者行（SSG）及（FTR）诊治。结果：子宫输卵管造影近端（间质部．峡部）阻塞45条（70．3％），行SSG证实只有38条（59．4％）阻塞（狭窄），2条通畅，另5条为壶腹部阻塞；（HSG）常规造影64条，显示壶腹部阻塞12条（18．8％），经SSG证实有11条（17．2％）阻塞（狭窄），1条通畅；伞端阻塞7条。32例近端输卵管阻塞再通成功率94．7％，壶腹部成功率躬．8％。经过SSG及FTR后随访1-3年，32例中妊娠12例，妊娠率37．5％，10例正常生产，2例宫外孕。结论：SSG及FTR技术操作简便，疗效确实，值得推广作用。

Purpose： To observe the effect of selective salpingography （SSG） and interventional therapy for fallopian tube obstruction recanalization （FTR）.Matertals and Methods： SSG and FTR were perfomed for 32 cases of fallopian tube obstruction who were diagnosed by hysteroealpingography. Resulls： 45 tubes （70.3%） of intramural and isthmus obstruction diagnosed by HSG were performed SSG, which showed 38 （59.4%） fallopian tube obstruction or stenusis, 5 of them were fimbrial obstruction and 2 patency of tube. HSG was performed for 64 tubes which 12 cases （18.8%） of isthmic obstruction were showed. 11 tubes （ 17.2% ）, 3 tubes of patency and 7 fimbrial end obstruction were proved by SSG. Bate of success was 94.7% for 32 cases of fallopian tube obstruction recanalization and 43.8% for fimbrial obstruction. By 12 years of follow-up, 12 cases of 32 fallopian tube obstruction were pregnancy （37.5%）. 10 of them were delivery. 2 were ectopic pregnancy. Conclusion： SSG and FIR are safe and effective therapy to treat fallopian tube obstruction.