摘要
目的探讨应用自制简易同轴导管选择性输卵管造影术(selective salpingography,SSG)及输卵管再通术(fallopian tube recanalization,FTR)在诊断和治疗输卵管阻塞性不孕中的临床应用价值。方法采用自制简易同轴导管,对76例共134条输卵管阻塞患者,利用微导丝的机械疏通及再通液的消炎、抗粘连等作用予以治疗,术后抗炎及输卵管通液治疗。结果SSG显示134条输卵管梗阻,其中间质部81条,峡部25条,壶腹部16条,伞端12条;FTR总复通率为76.1%,其中间质部96.3%,峡部68.0%,壶腹部43.8%,无严重并发症。术后随访1～2年,妊娠31例,妊娠率40.8%,29例正常分娩,宫外孕2例(2.6%)。结论采用简易同轴导管行SSG及FTR经济实惠、操作简便、疗效确实,值得基层医院推广应用。
Objective To evaluate the clinical value of selective salpingography （SSG） and fallopian tube recanalization （FTR） for diagnosis and treatment of oviduct obstructive infertility with self-made simple coaxial microtube. Methods SSG and FTR with self - made simple Coaxial Microtube were performed for 76 cases with 134 tubes of obstructive oviduct through wire - guided tubal recanalization, anti - inflammatory and anti - adhesion effect of recanalization fluid, and the patients were treated with anti - bacterial and hydrotubation after operations. Results SSG displayed that 81 tubes obstruction in interstitial tubal, 25 tubes obstruction in isthmus, 16 tubes obstruction in ampulla and 12 tubes obstruction in fimbria. The total recanalization rate of FTR was 76. 1% , with the recanalization rate 96.3% in interstitial, the recanalization rate 68.0% in isthmus and the recanalization rate 43.8% in ampulla, and no serious complications occurred. All cases were followed up for one to two years postoperatively. Normal pregnancy pationes were 31 cases （40. 8% ） , and 29 women were normal parturition, 2 cases （2.6%） were extrauterine pregnancy . Conclusion The advantage of SSG and FTR with self -made simple coaxial microtube is low cost, simplicity and excellent efficacy. It is worth popularizing in grass -roots hospitals.
出处
《医学研究杂志》
2009年第3期53-55,共3页
Journal of Medical Research
关键词
选择性输卵管造影术
输卵管再通术
输卵管阻塞
不孕症
Selective salpingography
Fallopian tube recanalization
Oviduct obstructive
Infertility
