输卵管阻塞诊治进展

The Diagnostic and Therapeutic Developments of Salpingemphraxis

输卵管阻塞性不孕是不孕症的最主要类型,发病率有逐年增高的趋势,相应的诊治方法也在不断进步。准确诊断是有效治疗的前提,鉴于输卵管阻塞原因的多样性,其诊断方式不断改进,已由盲目武断逐渐过渡到直观准确。输卵管阻塞的治疗模式虽然几经改变,但微创治疗始终是不变的追求。由传统的药物治疗、开腹手术,到介入治疗、显微外科,再到不断进步的内镜技术,无不体现着微创的理念。输卵管阻塞病因复杂,单一治疗方式难以达到满意效果,如何选取恰当的诊疗方式困扰着妇产科医生。总结近年来输卵管阻塞的诊疗进展,为输卵管阻塞的正确诊疗提供依据。

Salpingemphraxis is the first main type for infertilitas feminis.Meanwhile the incidence of salpingempraxis is increasing year by year.Accordingly,the diagnostic and therapeutic methods are also pushed to be improved.In terms of the complicated causes for salpingemphraxis,the concept of its diagnosis has been greatly changed,from blind and arbitrary to direct and exact.Although the therapeutic modes have been modified for several times,minimal invasion is the permanent pursuit.This can be detailed as following,from traditional medication and open surgery to microsurgery and interventional therapy,further to endoscopic techniques.Because the reasons for salpingempraxis are very complex,single therapeutic manner hardly gets satisfying effect.Thus how to select proper therapeutic methods puzzles accoucheurs.By summarizing recent progresses in the diagnosis and therapy of salpingemphraxis,this paper intends to provide some suggestions.