输卵管残端栓塞术预防输卵管妊娠的临床应用

Fallopian Tube Embolization to Prevent Tube Stump Pregnancy Before in Vitro Fertilization and Embryo Transfer

目的探讨预防在体外受精-胚胎移植(IVF-ET)时输卵管残端妊娠的新方法及输卵管栓塞在临床上的应用价值。资料与方法 15例输卵管残留患者,双侧输卵管切除4例,单侧切除11例,共测量输卵管残端19侧,子宫输卵管造影术显示残留的输卵管长度为10～36 mm,平均16.8 mm。15例均行输卵管栓塞术,术后行IVF-ET观察并记录临床妊娠率及异位妊娠率等指标。结果 15例患者双侧输卵管均行输卵管微弹簧圈栓塞,效果显著。术后行IVF-ET,临床妊娠率60%(9/15),输卵管妊娠率为0。结论输卵管栓塞术应用于IVF-ET前对输卵管残端进行处理,以预防输卵管残端异位妊娠,是一种简便、安全、经济、有效的新方法。

Objective To assess the value of fallopian tube embolization in preventing tube stump pregnancy before in vitro fertilization and embryo transfer（IVF-ET）.Materials and Methods Fifteen patients with bilateral fallopian tube resection（n=4） and unilateral fallopian tube resection（n=11） underwent fallopian tube embolization before IVF-ET.The length of tube stump were measured on hysteron salpingography（HSG） images.The microcoils were placed into tube interstitial to embolize the tube.Results HSG indicated the length of tubes vary from 10.00 to 36.00mm,with average length of 16.80mm.The fallopian tubes were successfully embolized in all15 patients.The result of IVF-ET included 60.00% of the clinical pregnancy rate and 0 of tube stump pregnancy.Conclusion Fallopian tube embolization,a new application to prevent the fallopian tube pregnancy,is an easy,safe and economical approach.