宫腔镜下插管介入治疗输卵管梗阻96例临床分析

Clinical analysis of 96 cases with intubation interventional therapy of tubal obstruction under hysteroscopy

目的探讨宫腔镜下插管介入在输卵管梗阻中治疗效果。方法采用经X线监护宫腔镜下输卵管插管介入、输卵管造影+疏通+造影进行输卵管再通。结果 192条输卵管中术中造影有72条不完全性梗阻,全部疏通;120条完全性梗阻中有64条间质部梗阻,60条疏通;峡部梗阻36条,有30条疏通;20条壶腹部及伞部不通只有2条疏通。96例受术者同时行宫腔镜检查,发现24例宫腔异常并同时治疗。结论经X线监护宫腔镜下输卵管插管介入是治疗输卵管梗阻的有效方法。

Objective To investigate treatment efficacy of tubal obstruction guided by intubation intervention under hysteroscopy.Methods Tubal catheterization intervened under hysteroscopy by X-ray monitoring,salpingography ＋ fallopian tube dredging ＋ salpingography for fallopian tube recanalization.Results There were 72 incompletion obstructions in 192 fallopian tubes,all recanalied by salpingography.There were 64 interstitial obstructions among 120 complete obstructions,of which 60 were recanalied;36 isthmus obstruction,of which 30 were recanalied;20 ampullary and fimbria obstructions,of which 2 were recanalied.At the same time,24 abnormal uterine cavities were discovered in 96 cases with hysteroscopy.Conclusion It is an effective way for tubal obstruction with tubal catheterization intervention under hysteroscopy by X-ray monitoring.The circumstance of cervical canals,uterine cavity and intima can be observed.