摘要
目的评价选择性输卵管造影(SSG)及再通术(FTR)在输卵管不孕症中的疗效。方法经子宫输卵管造影证实459例患者共895条输卵管近端阻塞或通畅度不佳,将导管置于输卵管口,使用导丝疏通后造影,对比分析其手术前后输卵管通畅程度并随访18个月内妊娠率。结果 895条近端阻塞或不通畅输卵管疏通后572条(63.9%)基本通畅。完全性阻塞输卵管SSG及FTR术后疏通率为80.3%(53/66);不完全性阻塞患者疏通率为96.7%(802/829)。随访18个月,212例患者中妊娠93例(43.9%),异位妊娠2例(2.1%)。中位妊娠期为8.2个月。双侧输卵管基本通畅者妊娠率为51.3%(58/113),双侧输卵管不完全通畅者妊娠率为35.4%(35/99)。结论 SSG及FTR安全有效,是治疗因输卵管近端阻塞或不通畅导致不孕的有效方法。
Objective To evaluate the clinical efficacy of selective salpingography（SSG） and fallopian tube recanalization（FTR） in diagnosing and treating fallopian tubal infertility.Methods SSG was performed in 459 patients and a total of 895 fallopian tubes were proved to be completely or incompletely occluded.Under fluoroscopic guidance,a catheter was managed to be placed in the tubal ostium,then a catheter and guide wire system was used to clear the proximal tube.The cumulative pregnancy rate within eighteen months after the treatment was calculated,and the postoperative tubal patency degree was compared with the preoperative one.Results After FTR complete patency was achieved in 572 tubes（63.9%）.For complete occluded tubes the postoperative patent rate was 80.3%（53/66）,while it was 96.7%（802/829） for incomplete occluded tubes.During the follow-up period of 18 months,the pregnancy was confirmed in 43.9% patients（93/212）,among which ectopic pregnancy was seen in 2.1% patients（2/93）.The median procedure-conception interval was 8.2 months.The pregnancy rate was 51.3%（58/113） in patients with basically patent bilateral fallopian tubes,and it was 35.4%（35/99） in patients with incomplete patent fallopian tubes.Conclusion The results clearly indicate that SSG together with FTR is a safe and effective method for the treatment of female infertility caused by proximal blockage or incomplete occlusion of the fallopian tubes.
出处
《介入放射学杂志》
CSCD
北大核心
2010年第12期964-967,共4页
Journal of Interventional Radiology
关键词
选择性输卵管造影
输卵管再通术
不孕症
selective salpingography
fallopian tube recanalization
infertility
