宫腔镜引导下选择性输卵管造影加再通术30例

Selective salpingogvaphy and fallopian tube recanalization that hysteroscope leading with controling by digital X-ray(A report of 30 case)

目的探讨宫腔镜引导下的选择性输卵管造影加再通术(SSG+FTP)在输卵管梗阻性不孕症的应用价值。方法选择输卵管碘油造影(HSG)诊断证实双侧输卵管梗阻者30例,采用宫腔镜引导下SSG+FTP进行输卵管疏通。结果 30例59条输卵管中有24条不完全性梗阻全部疏通;35条完全性梗阻中峡部梗阻8条有6条疏通,间质部梗阻12条有2条疏通,壶腹部及伞部梗阻15条有6条疏通。总再通率为64.41%,妊娠率为30.00%。30例受术者同时行宫腔镜检查,发现7例宫腔异常。结论宫腔镜引导下SSG+FTP是治疗输卵管性不孕症的可靠方法,同时可观察子宫颈管及子宫腔形态及内膜的情况,起到一举两得的作用。

Objective To investigate the value of selective salpingogvaphy（SSG） and fallopian tube recanalization（FTP）that hysteroscope leading at fallopian tube infertility.Methods 30 cases of infertility of bilateral oviduct obstruction were diagnosed by hystero-salpingography,SSG＋FTP were performed by means that hysteroscopy leading with controlling by digital X-ray.Results There are 24 incompletion obstruction in 59 fallopian tubes,all dredge;In 35 completion obstructive oviducts,8 in isthmic portion,of 6 were recanalized;12 interstitial portion,2 were deoppilation;15 ampulla and umbrella obstruction,6 were deoppilation.Overall recanalization rate was 64.41 %,pregnancy rate of 30.0%.At the time,7 abnormal uterine cavity were discovered in 30 cases with hysteroscopy.Conclusion It is an effective approach to treat oviduct obstruction infertility of SSG＋FTP with hysterscope leading,rose the kill two birds with one stone＇s function.