选择性输卵管造影和再通术治疗输卵管阻塞性不孕效果分析

The effect of selective salpingography and fallopian in the treatment of fallopian tubal infertility

目的：探讨选择性输卵管造影术和再通术在治疗输卵管阻塞性不孕症方面的有效性和安全性。方法对127例因输卵管阻塞导致不孕症的患者实施选择性输卵管造影，若仍然有阻塞则行输卵管再通术。结果127例患者中有19例为双侧输卵管阻塞，经手术检查后证实其中9例患者11条输卵管为假阳性。治疗后108条输卵管恢复通畅，有效率为80．00％。随访一年后，有41例（34．75％）患者受孕。结论介入再通术对输卵管阻塞性不孕的治疗安全有效，操作简单，患者创伤小，值得临床推广应用。

Objective To evaluate the efficacy of selective salpingography （SSG）and fallopian tube recanalization（FTR）in treating fallopian tubal infertility.Methods 127 patients with fallopian tubal infertility who treated with SSG and FTR were analyzed.Results Among 127 patients,there were 19 patients with both salpingemphraxis.After SSG,we found 9 cases of 11 fallopian tubes were unobstructed.After SSG and FTR,108 fallopian tubes were unobstructed,the effective rate was 80.00%.After one year following -up,41 cases （34.75%）were fertilized. Conclusion SSG and FTR were effective for patients with salpingemphraxis.The treatment was safe,effective and less harmful for patients.It is worthy for clinical application.