摘要
目的:评价放射介入再通术对输卵管性不孕症的疗效。方法:随访102例接受选择性输卵管造影(SSG)和介入性输卵管再通术(FTR)治疗的输卵管阻塞不孕症患者,统计术后1年内妊娠率、异位妊娠率及输卵管再阻塞率,并进行综合分析。结果:完全梗阻患者1年妊娠率为40.7%,其中近端(间质部、峡部)阻塞妊娠率为60%,中远端(壶腹部、伞端)阻塞妊娠率为16.67%,两者比较差异有显著性(χ2=5.19,P<0.05);不完全阻塞患者1年妊娠率分别为通而欠畅60.9%、通而不畅43.2%、通而极不畅13.3%。三者比较差异有显著性(χ2=8.40,P<0.05)。结论:SSG和FTR是治疗输卵管性不孕症的有效方法,输卵管近端阻塞为SSG和FTR首选。
Objective：To evaluate the curative effect of interventional therapy on tubal infertility. Methods： 102 women were included who were hysterosalpingography. They all performed diagnosed as tubal infertility at different site and degree by selective salpingography （SSG） and fallopian tube recanalization （FTR）. The pregnancy rate, ectopic pregnancy and oviduct reemphraxis were monitored for 1 year after operation. Results： The pregnancy rate in 27 patients with absolute tubal obstruction was 40.7% （11 individuals）, including 9 of 15 patients （60%） with oviduct obstruction in interstitial portion, 2 of 12 patients （ 16.67% ） with oviduct obstruction in ampulla or fimbriated extremity of fallopian. There was significant difference between them （x^2 = 5.19 ,P〈0.05 ）. The pregnancy rate of 75 patients with partial tubal obstruction was 42.67% （32 individuals）, including 14 of 23 patient （6019% ） with open but not smooth oviduct, 16 of 37 patient （43.2%） with open but not easy and smooth oviduct, 16 of 37 patient （43. 2% ） with open but very slack oviduct. The significant difference was observed among them （x^2 = 8.40, P〈0.05 ）. Conclusion： SSG and FTR are effective therapy for tubal infertility, which should be the best selection for the oviduct obstruct in interstitial portion.
出处
《西北国防医学杂志》
CAS
2007年第5期358-360,共3页
Medical Journal of National Defending Forces in Northwest China
