输卵管阻塞介入性治疗108例分析

A Further Study on the Interventional Tubal Recanalization

目的探讨放射介入法对输卵管性不孕症的诊断及治疗效果。方法对108例经子宫输卵管造影检查诊断为输卵管阻塞的不孕症患者,在X线监视下,用导丝经宫腔行介入性输卵管疏通术。结果输卵管腔完全梗阻31例,共58条输卵管中49条获管腔再通,再通率为84.5%,术后1年内妊娠率为29.0%,异位妊娠率为12.9%,管腔再塞率为12.1%。管腔不完全梗阻77例,共145条不同程度梗阻的输卵管,行介入性输卵管疏通术,1年内妊娠率为61.0%,异位妊娠率为6.5%,治疗有效率为89.7%。结论介入性输卵管疏通术对输卵管性不孕具有诊断和治疗双重作用。

Objective To explore the efficacy of the interventional reeanalization for infertile women with fallopian tube obstruction. Methods 108 infertile patients with fallopian tube obstruction diagnosed by hysteresalpingography were treated with interventional tubal recanahzation under X-my. Results Among 31 patients with complete fallopian tubes obstruction, there are 49 recanalization in the 58 fallopian tubes and the successftd rate of recanalization was 84.5 %. These patients pregnancy rate was 29.0% in one year and ectopic pregnancy rate 12.9%, and the second fallopian tube obstruction rate 12.1%. Among 77 patients with not complete fallopian tubes obstruction, there are 145 fallopian tubes obstruction treated with interventional tubal reeanalization. These patients pregnancy rate was 61.0% in one year and eetopic pregnancy rate 6.5 %, and the suecessful rate of recanalization 89.7%. Conclusion Interventional tubal reeanalization has important application in the diagnosis and treatment for infertile women with fallopian tube obstruction.