同轴导管法治疗输卵管阻塞不孕症的临床应用

Coaxial Microtube Methods for Therapy Fallopian Tubal Obstruction

目的 :探讨安全而有效的输卵管再通的治疗方法。材料与方法 :11例输卵管阻塞的患者 ,用三根同轴导管行选择性输卵管造影 ,如果加压造影后阻塞仍然存在 ,则直接送入导丝行输卵管再通术。在加压造影和导管的作用下 ,大多数病人均可复通。结果 :2 0条输卵管中经选择性造影或再通术均获得再通 ,有 4例宫内妊娠 ,无宫外孕。结论 :输卵管近端阻塞的患者应选择性输卵管造影或输卵管再通术 。

Purpose:To investigate the safe and effective method in the recanalizalion of fallopian tubal obstruction.Materials and Methods:11 cases were diagnosed by hysterosalpingogram,selective salpingography was performed with coaxial microtube.If fallopian tubes was still present,then followed we used guided-wire for recanalization.Affer laternative pushing and injecting for several times ,most of the obstructed fallopian tubes could be recanalized.Results:20 blocked fallopan tubes became patent by selective salpingraphy of fallopian tube recanalization.there are 4 intrauterine pregnancies and no ectopic pregnancy.Conclusions:Selective salpingography o fallopian tube recanalization should be considered at the time of hysterosalpingogram showing proximal tubular obstruction.They are a safe and effective procedure for the diagnosis and treatment of proximal tubular obstruction.