输卵管再通术治疗输卵管阻塞性不孕症疗效分析

A clinic study of fallopian recanalization in treatment for infertile women caused by fallopian tube obstruction

目的评价选择性输卵管造影与再通术在输卵管阻塞性不孕症诊治中的作用。方法选择经输卵管造影证实输卵管间质部、峡部或壶腹部阻塞的187例不孕妇女的356支输卵管进行选择性输卵管造影及再通术,术中灌注抗粘连药物。术后随访6～24个月。结果再通成功率85.1%,妊娠率29.4%,无1例发生严重并发症。结论选择性输卵管造影和再通术是目前诊治输卵管阻塞性不孕症的一种安全有效且值得推广的方法。

Objective To evaluate the value of selective salpingography combined with fallopian tube recanalization for the diagnosis and treatment of proximal and middle tubal obstruction. Methods Selective salpingography was performed with catheter in 187 cases （356 tubes） that were diagnosed by hysterosalpingogram （HSG）. If proximal tubal obstruction was still present, then followed fallopian tube recanalization. Anticonglunative drug was affused during tubal catheterization. Results With a follow - up of six to twenty - four months, the successful rates of recanalization and pregnancy reached 85. 1% and 29.4%, respectively. The severe adverse action was not observed. Conclusion This method of combining hysterosal- pingography and followed fallopian tube recanalization, is safe, effective and for infertile women and worthy to be recommonded.