输卵管阻塞性不孕症介入治疗的临床疗效分析

Interventional treatment of obstructive tubal infertility

目的探讨介入法对输卵管性不孕症诊断及治疗的临床价值。方法本院2006年1月～2008年1月收治的126例输卵管阻塞不孕症,应用输卵管专用同轴导管选择性输卵管造影,如果发现输卵管阻塞或粘连,则马上行输卵管再通术。结果126例经输卵管造影诊断232条输卵管阻塞,经导丝疏通后开通224条,治疗成功率为96.9%。随访两年,126例,宫内妊娠52例,妊娠率达41.3%,输卵管妊娠2例,异位妊娠率3.85%。结论介入性输卵管再通术是治疗输卵管阻塞性不孕的有效方法,有临床推广应用的价值。

Objective To explore the clinical efficacy of interventional treatment in obstructive tubal infertility. Methods 126 cases of tubal obstruction infertility were treated in our hospital in January 2006-January 2008. Selective tubal angiography were done with coaxial catheter. If tubal obstruction or adhesions was found, the fallopian tube recanalization was done. Results 126 cases with 232 fallopian tubes were diagnosed obstruction by HSG, and 224 fallopian tube were recanalized with guidewire. The success rate was 96.9%. Patients were followed up for two years. 52 cases got intrauterine pregnancy, and the pregnancy rate reached 41.3%; 2 cases of tubal pregnancy, ectopic pregnancy rate was 3.85%. Conclusion Interventional fallopian tube recanalization for treatment of obstructive tubal infertility is an effective method.