选择性输卵管造影术及输卵管阻塞介入治疗

目的:探讨选择性输卵管造影术(SSG)的诊断及输卵管阻塞介入再通术(FTR)的治疗效果。材料与方法:对32例经子宫输卵管造影术(HSG)诊断为输卵管阻塞不孕症患者行(SSG)及(FTR)诊治。结果:子宫输卵管造影近端(间质部,峡部)阻塞45条(70.3%),行SSG证实只有38条(59.4%)阻塞(狭窄),2条通畅,另5条为壶腹部阻塞;(HSG)常规造影64条,显示壶腹部阻塞12条(18.8%),经SSG证实有11条(17.2%)阻塞(狭窄),1条通畅;伞端阻塞7条。32例近端输卵管阻塞再通成功率94.7%,壶腹部成功率43.8%。经过SSG及FTR后随访1~3年,32例中妊娠12例,妊娠率37.5%,10例正常生产,2例宫外孕。结论:SSG及FTR技术操作简便,疗效确实,值得推广作用。

Selective Salpingography and Interventional Therapy for Fallopian Tube Obstruction

Purpose:To observe the effect of selective salpingography(SSG) and interventional therapy for fallopian tube obstruction recanalization(FTR).Materials and Methods:SSG and FTR were performed for 32 cases of fallopian tube obstruction who were diagnosed by hysterosalpingography.Results:45 tubes(70.3%) of intramural and isthmus obstruction diagnosed by HSG were performed SSG,which showed 38(59.4%) fallopian tube obstruction or stenosis,5 of them were fimbrial obstruction and 2 patency of tube.HSG was performed for 64 tubes which 12 cases(18.8%) of isthmic obstruction were showed.11 tubes(17.2%),3 tubes of patency and 7 fimbrial end obstruction were proved by SSG.Rate of success was 94.7% for 32 cases of fallopian tube obstruction recanalization and 43.8% for fimbrial obstruction.By 12 years of follow-up,12 cases of 32 fallopian tube obstruction were pregnancy(37.5%).10 of them were delivery.2 were ectopic pregnancy.Conclusion:SSG and FTR are safe and effective therapy to treat fallopian tube obstruction.