宫腔镜下输卵管双层插管治疗输卵管梗阻108例效果分析

Result Analysis on 108 Oviduct Obstruction Cases Treated with Double Deck Spiles under Hysteroscope Supervision

目的 :为进一步提高宫腔镜下插管治疗输卵管严重梗阻的疏通率及术后妊娠率。对象和方法 :本文对 1 0 8例患有输卵管完全或部分梗阻导致不孕的妇女 ,在宫腔镜窥视下经第一次插管注液不能疏通者 ,进行双层插管疏通治疗。结果 :经第一次插管注液完全疏通的输卵管由术前的 3.30 %上升到 33.0 2 % (P<0 .0 5) ,在此基础上进行双层插管 ,完全疏通率 33.0 2 %上升到 57.59% (P<0 .0 5) ,经第二次宫腔镜检查 ,完全疏通率略有下降 ,但 P>0 .0 5。术后一年随访 ,怀孕 33例 (30 .56 % )。结论 :宫腔镜下输卵管双层插管对输卵管严重梗阻有较好疗效 。

Objective: Promote dredging rate of oviduct obstruction of women and pregnancy rate after operation. Subjects and Methods: A total of 108 women with oviduct obstruction were observed. They were treated by normal spile under hysteroscopy first. Those who were not dredged were treated by double deck spiles under hysteroscopy. Results: Dredging rate of oviduct obstructions was elevated from 3.30% to 33.02%( P <0.05) after normal spile operation and hysteroscopy, and then increased from 33.02% to 57.59%( P <0.05) after double deck spiles operation under hysteroscopy. One month later, some cases were re checked by hysteroscopy and were found that the oviduct dredging rate dropped a little ( P >0.05). One year after the operation, 33 cases were pregnanted and the pregnancy rate was up to 30.56%. Conclusion: Double deck spiles operation and hysteroscopy can promote dredging rate of oviduct obstruction of women and pregnancy rate after operation.