选择性输卵管造影与再通术对不孕症的诊疗价值

The Diagnostic Value of Selective Salpingography and Fallopian Tube Recanalization in Treating female Infertility

目的:探讨选择性输卵管造影与再通术对输卵管原因所致不孕症的诊疗价值。方法:回顾性分析150例因输卵管所致女性不孕患者,行选择性输卵管造影与再通术,术后随访一年,评价诊疗价值。结果:150例输卵管原因所致女性不孕患者281条输卵管中224条有不同程度的通而不畅或阻塞,再通成功196条,成功率为87.5%;124例患者单侧或双侧再通术后成功,1年内自然受孕患者47例,怀孕率37.9%。结论:选择性输卵管造影与再通术对输卵管原因所致不孕症有重要诊疗意义,并对辅助生殖技术具有重要参考价值。

Objective:To explore the value of selective hysteroslapingography(SSG)and fallopian tube recanalization(FTR)in diagnosing and treating fallopian tubal infertility.Methods:All the data of 150 cases of female infertility caused by oviduct were retrospective analyzed.The patients underwent selective salpingography and recanalization,followed up for one year,and the diagnostic value were evaluated.Results:Of the 281 fallopian tubes,there were 224 cases with different degrees of obstruction or unblocked success.196 cases were succeeded again after surgery,and the success rate was 87.5%.One-sided or two-sided recanalized(47 cases of spontaneous conception in one year),and the pregnancy rate was 37.9%.Conclusion:Selective salpingography and recanalization have important diagnostic significance for infertility caused by oviduct cause and have important reference value for assisted reproductive technology.