选择性输卵管造影与再通术诊治阻塞性不孕(100例报告)

Selective Salpingography and Fallopian Tube Recanalization in the Diagnosis and Treatment to the Obstructive Infentility(Report of 100 cases)

目的:评价输卵管插管造影及再通术对输卵管阻塞性不孕的诊治价值.材料与方法:先经宫颈对常规子宫、输卵管造影(HSG)显示输卵管阻塞的100例不孕妇女的180条输卵管进行插管,采用选择性插管至输卵管开口处推注30%泛影葡胺造影,对证实阻塞者进行导丝再通,术后随访2～4个月 结果:插管成功率100%.无严重并发症,复通率80%,妊娠系21%(21/100)

Purpose:To evalute the significance of selective salpingography(SSG)and fallopian tube recanaliza-tion(FTR)in the diagnosis and treatment to the obstructive infertility.Materials and methods: 180 times of FTR were performed in 100 Cases of infertile women with the obstruction of salpingograpy diagnosed by hysterosalp-ingography(hsg) through cervix in routine, and then 30% meglumine diatrizoate was infused to the opening of the fallopian tube by selective catheterization, when it was confirmed obstruction, FTR would be performed. Those patients in 2-4 months were traced after the operation . Results: Success rate of selective catheterization was 100% there was no serious complication, The rate of recanalization was 80% , the rate of pregnancy was 21 % (21/100).Conclusions:SSG and FTR are the best method in the diagnosis and treatment to the obstructive infentility.