子宫输卵管碘水造影及介入再通术的结果分析

Analyzing the Results of Hysterosalpingography and Oviduct recanalization for the Treatment of Infertility Due to Fallopian Tube Obstruction

目的分析子宫输卵管造影及介入再通术的临床价值。方法对72例女性不孕症患者进行子宫输卵管造影,在DSA设备下摄片;并对阻塞输卵管行再通治疗。结果 72例造影正常共17例(23.6%),子宫异常6例(8.3%),输卵管异常51例(70.8%),液体加压冲击法再通共49条输卵管,导丝再通术再通8条。结论子宫输卵管造影是诊断不孕症的最好方法,对阻塞输卵管行液体加压冲击法或导丝再通术具有较高的临床治疗价值。

Objective To explore the clinical value of hysterosalpingography（HSG） and oviduct recanalization in patients with infertility induced by tubal obstruction. Methods Under the control of digital subtraction angiography（DSA） ,72 patients with infertility underwent hysterosalpingography and oviduct recanalization. Results Hysterosalpingography and oviduct recanalization were performed successfully in all cases. Of them,17 cases were normal（23.6%） ,6 cases had abnormal uterus（8.3%） ,and 51 cases had abnormal fallopian tube（70.8%） . With the treatment of hydrotubation with liquid impingement,49 fallopian tubes showed recanalization. With guide-wire technique,8 tubes were recanalized. Conclusion HSG may be the preferred method in diagnosis of infertility. Under control of DSA,the liquid impingement combined with guide-wire technique have signifi cant clinical value for the treatment of infertility due to fallopian tube obstruction.