输卵管阻塞的介入治疗进展

Progress on interventional diagnosis and therapy of ovarian tubel occlusion

子宫输卵管造影(HSG)和选择性输卵管造影(SSG)对输卵管阻塞有较可靠的诊断价值;SSG和经子宫颈输卵管再通术(T-FTR)有较可靠的近、远期疗效和较低的不良反应率。输卵管再通率、妊娠率等结合输卵管灌注压的测定及超声技术,可较客观全面地评价输卵管阻塞的疗效及安全性。今后研究当发展非放射技术、提高诊断准确性,提高妊娠率,减少不良反应,开展随机对照试验,统一评价标准。

Selective salpingogram （SSG）and hysterosalpingography （HSG）have achieved fairly reliable diagnostic value. SSG and transcervical fallopian tube recanalization（T-FTR）possess rather credible therapeutic value, long-term effect and low risk. Recanalization rate and pregnancy rate, combining with the measurement of tubal perfusion pressures （TPP）and development of ultrasonic technology, can evaluate the therapeutic effect and safety more generally and objectively. Researches in the future should lay emphasis on developing nonradiologic technique, promoting diagnostic veracity, reducing side effects, and establishing randomly control trials together with consolidating the standardized evaluation criteria.