选择性输卵管造影和输卵管阻塞介入再通治疗

Selective Salpingography and Interventional Treatment for Fallopian Tube Recanalization

目的探讨选择性输卵管造影(SSG)和介入输卵管再通术(FTR)对输卵管阻塞的治疗效果。方法306例输卵管阻塞的不孕患者共530条阻塞输卵管(双侧224例,单侧82例),在X线监视下行SSG和FTR。结果530例输卵管完全再通率84.7%(449/530);间质部梗阻再通率89.9%(268/298),峡部再通率86.7%(144/166),近段再通率高88.7%(412/464),壶腹部再通率60.4%(29/48),伞部再通率44.4%(8/18),远段再通率较低56.1%(37/66)。1～3个月后输卵管的再阻塞率为11.4%(51/449);随访1年妊娠率34.6%(106/306)。其中宫内妊娠率33.0%(101/306),异位妊娠率1.6%(5/306)。结论SSG和FTR技术治疗输卵管近段阻塞较好的方法,应该作为治疗输卵管近段阻塞首选方法。

Objective To explore the treatment effect on fallopian tube obstruction using selective salpingography（SSG）and interventional Fallopian Tube Recanalization（FTR）.Methods The operation of SSG and FTR in 306 cases of infertile patients having fallopian tube obstruction（530 side,there were 224 cases with bilateral obstruction,82 cases with unilateral obstruction.Was monitored by X-ray.Results 530 obstructive fallopian tubes recanalizated 84.7%（449/530）,intramural recanalization rate 89.9%（268/298）,isthmus recanalization rate 86.7%（144/166）,intramural and isthmus recanalization rate 88.7%（412/464）;ampullae recanalization rate 60.4%（29/48）,fimbria recanalization rate 44.4%（8/18）,ampullae and fimbria recanalization rate 56.1%（37/66）;intramural and isthmus recanalization rate more higher ampullae and fimbria.Inspections from first to third month after therapy revealed that these fallopian tubes reocclusion rate 11.4% （51/449）;Followed up for 1 year,pregnancy rate was 34.6%（106/306）,introu-terine pregnancy 33.3%（101/306）,ectopic pregnancy 1.6%（5/306）.Conclusion SSG and FTR was a good method for treatment fallopian tube intramural and isthmus obstruction,should be firstly chosen.