98例输卵管性不孕症经宫腔镜插管疗效分析

Tubal Infertility by Hysteroscopy Oviduct Intubation Treatment 98 Cases Analysis

目的探讨治疗输卵管性不孕症的有效方法。方法选择98例不孕患者,均经输卵管造影(HSG),诊断136侧输卵管梗阻,采用宫腔镜输卵管插管疏通术。结果136侧输卵管梗阻,86例疏通成功,通畅率63.2%。随访98例,已足月妊娠分娩36例,流产1例,宫外孕8例,妊娠率36.7%(36/98)。结论应用HSG联合宫腔镜输卵管插管治疗输卵管梗阻不孕症,是一种有效方法,并可鉴别输卵管真假性闭塞。

OBJECTIVE Treatment of oviduct infertility obstruction discussed effective method. METHOD Select the tubal imaging（HSG） 98 cases, 136 sides fallopian tube obstruction, using hysteroscopic tubal dredge intubation. RESULT 86 oviduct lesions in 136 cases, patency rate 63.2%（86/136）. Follow-up 98 cases, already full-term pregnancy, childbirth 36 cases, one example is abortion, ectopic pregnancy in 8 cases, pregnancy rate 36.7%（36/98）. CONCLUSIONS It is an effective means to treat proximal tubal obstruction by us- ing hysterosal pingogram combined with hysterscopy. It can also be used identify the true proximal tubal obstruction from the false one.