自制导管治疗输卵管性不孕症的疗效观察

Therapeutic effect of self-made duct in treatment of fallopian tube obstruction

目的观察自制导管治疗输卵管性不孕症的疗效。方法回顾分析采用自制导管治疗输卵管性不孕症1527例,随访863例,统计插管成功率、输卵管疏通率、妊娠率。结果 1527例输卵管不通患者,双侧不通953例,单侧不通574例,共计不通输卵管2480条,插管成功2346条,成功率94.6%。间质部、峡部梗阻1927条,疏通1789条,疏通率93%。壶腹部、伞部不通553条,疏通19条,疏通率3.4%。随访863例输卵管疏通患者,宫内妊娠413例,妊娠率47.8%,宫外妊娠6例,占0.7%。结论自制导管治疗输卵管性不孕症插管成功率高,对输卵管间质部、峡部梗阻疏通率显著,有较高的妊娠率。

Objective To investigate the efficacy of self-made duct in fallopian tube obstruction. Methods The data were retrospective analyzed of 1527 patients suffering fallopian tube obstruction and treated with self-made duct. 863 cases were followed up to calculate the success ratio of intubation, recanalization and pregnancy. Results Among 1527 cases with fallopian tube obstruction, the total obstructed tubes were 2480, and 953 patients were bilateral and 574 were in single side. 2345 tubes （93%） were intubated successfully. 1789（93%）of 1927 tubes obstructed in interstitial and isthmic portion, 19（3.4%）of 553 tubes obstructed in ampulla tubae and fimbriae tubae were intubated finally. During the followup, 863 recanalized cases were found intrauterine pregnancy in413 cases （47.8%） and ectopic pregnancy in 6 cases （0.7%）. Conclusion Self-made duct is effective in the treatment of fallopian tube obstruction .It can achieve high rate of intubation, recarmalizyion in interstital or isthmic portion. Pregnanacy rate is much high relatively.