自制输卵管再通器治疗输卵管梗阻性不孕的临床应用

Clinic Application of artificial Oviduct Opener Treating Infertility Caused by Oviduct Blockage

目的探讨自制输卵管再通器治疗输卯管阻塞性不孕的临床疗效。方法对168例女性不孕的298条阻塞输卵管行再通术,统计其再通率与妊娠率。结果168例输卵管梗阻患者298条输卵管复通286条;成功率为96．3％(286／298),插管成功率为100％, 18例21条输卵管复通后又发生阻塞,经2次后复通,为0．7％(21／298)。全部随访2年,105例怀孕,妊娠率为62．5％(105／168)结果显示与文献报道相一致。结论用自制输卵管再通器进行输卵管再通术具有安全、有效、操作筒单、费用低、出血少、并发症少、成功率高的特点。

Objective： Clinic effect of artificial oviduct opener treating infertilitas caused by oviduct blockage is studied. Methods： 298 oviducts in 168 infertilitas women are opened up, the rate of re-opening and the pregnancy rate are calculated. Results： 286 ones out of the 298 oviducts in 168 cases whose oviducts are blocked are unblocked, the success rate is 96%（286/298）, and that of cannula is 100%. 21oviducts in 18 cases are re-blocked, opened up the second time, covering a rate of 0.7%（21/298）. Two yeats of investigation shows that 105 cases become pregnant, pregnancy rate is 62.5%（105/168）. The results are in accordance with literature of medical science. Conclusionsi Application of artificial oviduct opener treating infertilitas caused by oviduct blockage is safe,effective,easy to control,low in cost,less in blceding,fewei in complications and high in success.