加压按摩在子宫输卵管造影治疗输卵管梗阻中的应用价值

Application of oppression and massage in hysterosalpingography for recanalization of oviduct obstruction

目的探讨加压按摩在子宫输卵管造影(hysterosalpingography,HSG)治疗输卵管梗阻中的应用价值。方法选取2011年6月至2013年12月深圳市南山区妇幼保健院收治的212例输卵管梗阻患者临床资料,根据不同治疗方法分为观察组和对照组,观察组(104例)在HSG中采用加压按摩法治疗,对照组(108例)采用持续注射造影剂治疗,比较两组输卵管再通率。结果治疗后观察组输卵管梗阻再通率56.7%(76/134)及输卵管间质部梗阻再通率79.3%(69/87)均显著高于对照组[45.5%(65/143)、58.4%(52/89)](P<0.05);两组输卵管峡部、壶腹部与伞部梗阻再通率比较差异无统计学意义(P>0.05);观察组输卵管间质部梗阻的再通率高于峡部、壶腹部与伞部梗阻(P<0.05)。结论加压按摩法联合子宫输卵管造影可提高梗阻输卵管的再通率,且安全性好。

Objective To investigate the application value of oppression and massage in hysterosalpingography （ HSG ） for recanalization of oviduct obstruction.Methods Clinical data of 240 patients with tubal obstruction in Nanshan District Women and Children Health Care Hospital from Jun 2011 to Dec 2013 were selected, all cases were divided into 2 groups according to different treatment, the patients in observation group （ n=104） were treated with HSG combined with oppression and massage, the patients in control group （n=108） were treated with continuous injection of contrast agent, the recanalization rate of fallopian tube of the two groups were compared.Results The recanalization rate of fallopian tube obstruction[56.7% （76/134）], the recanalization rate of the obstruction of fallopian tube mesenchyme of the observation group[79.3%（69/87）] were higher than those of the control group [45.5%（65/143）, 58.4%（52/89）]（P〈0.05）.There were no statistically significant differences in the recanalization rate of the obstruction of isthmus, ampullar region and fimbria of fallopian tube （ P〉0.05）;The recanalization rate of interstitial tubal obstruction of the observation group was higher than that of the tubal isthmus, ampulla and fimbria （P〈0.05）.Conclusion HSG combined with oppression and massage can improve the recanalization rate of oviduct obstruction with the advantage of security.