摘要
目的探讨宫腔镜联合导丝介入治疗输卵管梗阻的临床效果。方法回顾性分析326例输卵管梗阻患者采用宫腔镜联合导丝介入治疗的临床效果。结果 326例输卵管梗阻患者总有效率81.0%。输卵管峡部、间质部和壶腹部及伞部梗阻患者有效率分别为89.8%,86.0%和51.5%,术后随访1年宫内妊娠率分别为43.8%,47.2%和8.8%,宫内总妊娠率为32.5%(106/326)。结论宫腔镜联合导丝介入治疗是目前诊治输卵管梗阻性不孕安全、有效、简单的一种微创治疗方法,尤其适用于输卵管间质部和峡部阻塞的治疗。
Objective To investigate the efficacy of hysteroscopy combined with guidewire intervention in the treatment of oviduct obstruction. Methods Clinical data of 326 cases treated with hysteroscopy combined with guidewire intervention were retrospectively analyzed. Results The total effective rate was 81. 0%. The effective rate for isthmus obstruction,interstitial and ampulla obstruction and umbrella obstruction patients was 89. 8%,86. 0% and 51. 5%,respectively. The patients were followed up for 1 year after the operation and the pregnancy rate was 43. 8%,47. 2% and 8. 8%,respectively. The total intrauterine pregnancy rate was 32. 5%（ 106 /326）. Conclusion Hysteroscopy combined with guidewire intervention in the treatment of oviduct obstruction is a safe,effective,simple and minimally invasive method,especially for the obstruction in interstitial tube and isthmus.
出处
《山西医科大学学报》
CAS
2015年第12期1252-1254,共3页
Journal of Shanxi Medical University
关键词
输卵管梗阻
宫腔镜
导丝介入
不孕症
oviduct obstruction
hysteroscopy
guidewire intervention
infertility
