动态分析数字减影子宫输卵管造影联合CREEK导丝介入治疗输卵管近端梗阻的疗效分析

Dynamic analysis of the efficacy of digital subtraction tupinggraphy combined with CREEK guide wire intervention in proximal tubal obstruction

目的观察动态分析数字减影子宫输卵管造影联合CREEK导丝介入治疗输卵管近端梗阻的疗效,探究输卵管近端梗阻不孕症有效的治疗方案。方法回顾性分析35例输卵管近端梗阻患者的临床资料。患者均行数字减影子宫输卵管造影联合CREEK导丝介入治疗,观察治疗效果、1年内自然受孕率、1~2年内自然受孕率。结果治疗后,治疗有效率为97.14%(34/35),1年内自然受孕率62.86%(22/35)、2年内自然受孕率85.71%(30/35)均较高。其中1年内受孕率明显高于1~2年内受孕率,差异显著(P<0.05),考虑与输卵管粘连梗阻再形成有关。结论输卵管近端梗阻不孕患者采用数字减影子宫输卵管造影联合CREEK导丝介入治疗效果理想,治疗后1年内自然受孕率、2年内自然受孕率均较高。

Objective This paper aims to observe the efficacy of digital subtraction uterine tubal angiography combined with CREEK guide wire intervention in the treatment of proximal tubal obstruction,and to explore the eff ective treatment plan of proximal tubal obstruction and infertility.Methods The clinical data of 35 patients with proximal oviduct obstruction were retrospectively analyzed.All patients underwent digital reduced shadow hysterosalpingography combined with CREEK guide wire interventional therapy.The treatment effect,natural pregnancy rate within 1 year and natural pregnancy rate within 1-2 years were observed.Results After treatment,the effective rate was 97.14%(34/35),and the natural conception rate within 1 year was 62.86%(22/35)and within 2 years was 85.71%(30/35).The pregnancy rate within 1 year was signifi cantly higher than that within 1 to 2 years,and the diff erence was signifi cant(P<0.05),which may be related to the formation of oviduct adhesion obstruction.Conclusion The digital reduced tubal tuangiography combined with CREEK guide wire was eff ective,and the natural conception rate within 1 year and within 2 years after treatment were high.