介入手术治疗输卵管阻塞165例临床疗效评价

Clinic Observation of Interventional Therapy of Salpingemphraxis in 165 Patients

目的:回顾性分析采用介入手术治疗输卵管阻塞引起的原发及继发性不孕症的临床病例,并对其进行疗效观察及评价。方法:经阴道宫颈插管治疗输卵管阻塞165例,其中双侧输卵管不通75例,左侧输卵管不通56例,右侧输卵管不通34例。结果:165例经选择性输卵管造影及输卵管再通术后,再通率92%。术后半年内受孕者28例,1 a内受孕者38例,2年内受孕者19例。结论:选择性输卵管造影及输卵管复通术,介入治疗输卵管阻塞,简便、安全,治疗不孕症疗效显著,有临床推广价值。

Objective To analyze retrospectively the interventional surgical treatment for tubal obstruction caused by primary and secondary infertility,and observe and evaluate its treatment effect.Methods 165 cases with tubal obstruction were treated with trans-vaginal cervical intubation,75 cases of which were bilateral tubal barrier,56 cases were left fallopian tube barrier,and 34 cases were right fallopian tube barrier.Results 165 cases were treated with selective angiography and re-canalization of fallopian tube,the tubal re-canalization rate of which was 92%.28 cases were pregnant within six months after the treatment,38 patients within one year,and 19 cases within two years.Conclusion Selective salpingography and fallopian tube re-canalization for the intervention treatment of tubal obstruction is a safe and effective method,the treatment effect of which is significant for the infertility,and it is worthy in clinical practice.