介入性诊治输卵管梗阻79例

Interventional diagnosis and treatment of fallopian tube obstruction for 79 cases

目的 :探讨选择性输卵管造影(SSG)和再通术(FTR)在诊治输卵管梗阻方面的安全性、有效性及提高输卵管疏通率的方法。方法 :在DSA下用COOK公司的FTC -900系列器材对79例149条梗阻的输卵管施行SSG和FTR。每个病例在行子宫输卵管造影(HSG)和FTR之前均注入适量的利多卡因。结果 :149条输卵管中有41条经SSG后即疏通 ,86条经FTR后才疏通 ,有效率达85 2%。随访21例中有9例在半年内受孕。结论 :选择性输卵管造影和再通术是安全、有效的 ,且创伤小 。

Objective:To evaluate the safety and efficacy and patent rate to improve of selective salpingography combined with fallopian tube recanalization for interventional diagnosis and treatment of fallopian tube obstruction Methods:Under DSA 149 tubes of 79 cases were diagnosed.SSG and FTR were performed with FTC-900 catheters from Cook company injecting proper lidocaine through the catheter.Results:41 of 149 became patent by SSG.86 of remaining 108 were made patent by FTR.Effective rate was 85 2%,21 cases of follow up showed 9 intrauterine pregnancies in half a year.Conclusions: It is safe and effective to diagnosis and treatment of fallopian tube obstruction.SSG and FTR are the first selecting method.