输卵管阻塞不孕症的介入治疗回顾性分析

Retrospective Analysis of Interventional Therapy for the Fallopian Tube Obstruction

目的:探讨选择性输卵管造影和输卵管再通术治疗输卵管阻塞不孕症的临床疗效以及临床价值。方法:对4260例输卵管阻塞的患者进行选择性输卵管造影和再通术,采用球茎端导管应用微导管导丝对输卵管阻塞进行治疗,回顾性分析其再通率和受孕率。结果:4260例患者中,完全性输卵管阻塞者再通率为58.41%,其中近端、壶腹部和伞端阻塞的再通率分别为58.41%、64.41%、52.50%。输卵管不完全阻塞者再通率为96.17%。其中不畅和极不畅的再通率100.00%、90.04%。完全性输卵管阻塞者的妊娠率为29.78%,不完全性输卵管阻塞者妊娠率60.01%。结论:选择性输卵管造影和输卵管再通术成本低,操作简便、安全、损伤小、无明显并发症,其疗效高,在门诊即可治疗,适合基层医院的推广使用。

Purpose： To investigate the clinical efficacy and value of the selective salpingography （SSG） and fallopian tube recanalization （FTR） for the treatment of tubal obstruction infertility. Methods： Four thousand two hundred and sixty cases of patients with tubal obstruction underwent SSG＋FTR by using bulb tip cannulas with micro-catheter wire to treat the tubal obstruction. The recanalization rate and the pregnancy rate were analyzed retrospectively. Results： For all the cases with complete tubal occlusion, the recanalization rate was 58.41%. The recanalization rate of the proximal end, ampulla and umbrellas side were 58.41%, 64.41% and 52.50% respectively. The reeanalization rate of incomplete tubal occlusion was 96.17%, The recanalization rate of obstructed cases and sever cases were 100.00% and 90.04%. The pregnancy rate of patients with complete tubal occlusion was 29.78%, and of those with incomplete tubal occlusion was 60.01%. Conclusion： SSG and FTR is appropriate to carry out in primary hospitals because of its low cost, convenient, little damage and safe operation.