输卵管再通术与妊娠的关系

The Relationship of Fallopian Tube Recanalization and Pregnancy

目的:探讨输卵管梗阻复通术介入治疗的意义及与妊娠之间的关系。材料与方法:透视下将同轴导管、导丝有目的、缓慢、轻柔地送入输卵管内,先行造影,再决定是否疏通、怎样疏通治疗。复通后配合通液治疗,要求压力不大,缓慢注射,防止再次创伤。结果:单纯性梗阻配合其他有效治疗措施,复通率、妊娠率很高;有炎性表现的病例则妊娠率相对较低,宫外孕显著增加。介入治疗既是检查方法,又是有效治疗输卵管梗阻的手段,利于预后判断。结论:方法可行、方便,易于操作,过程中应注重每个细小环节的处理。

Purpose： To study the relationship of recanalization of fallopian tube and pregnancy. Materials and Methods： Depending on salpingograp, decide wheather/how to clear the fallopian tube. The hydrotubation was compounded after the recanalization, during which little pressure and injection slowing are used to prevent to damage again. Results： For simple fallopian tube obstruction matching other effective therapy , the recanalization rate and pregnancy rate was higher. The pregnancy rate was lower, but the incidence of the ectopic pregnancy was significantly increasing for the patients had inflam- matory features. Interventional therapy is a method of examination, also is a effective measure of fallopian tube obstruction.Conclusion： This method is feasible, simple and easy-operable, paying more attention to each details handing in the operation.