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41.
42.
目的探讨经宫颈选择性输卵管造影(selective salpingography,SSG)和输卵管再通术(selective transcervical fallopian tube recanalization,STFTR)在输卵管阻塞性不孕中的应用价值。方法对468例临床诊断不孕症的患者行子宫输卵管造影(hysterosalpingo graphy,HSG)。对其中326例证实为输卵管狭窄或阻塞原因所致不孕的患者,在X线透视监视下,通过同轴导管配合导丝技术经宫颈将5F导管选择性插至子宫角部或输卵管问质部,并借助0.018in微导丝、3F微导管的扩张作用和药液的冲胀作用,使阻塞的输卵管再通,最后向输卵管内灌注消炎、抗粘连药物。结果326例有639条输卵管狭窄或阻塞,行选择性输卵管造影和输卵管再通术,导丝均能选择性插入输卵管内,本组插管成功率达100%。427条输卵管介入治疗后再通,再通率达95.4%。结论输卵管再通术简单快速,安全有效,经济实用,值得推广。 相似文献
43.
目的观察腹腔镜应用在女性继发不孕症诊治中的价值。方法回顾性分析本院自1999年8月至2008年12月间237例女性不孕症患者应用腹腔镜诊治的临床资料。对其病因进行分析;对应用腹腔镜联合检查、及B超检查结果的阳性率进行比较;观察术后输卵管的通畅情况。结果女性继发不孕原因主要有慢性盆腔炎、子宫内膜炎等。腹腔镜检查阳性率明显高于B超检查。对于输卵管不通患者应用腹腔镜下输卵管通液治疗,手术前、后输卵管通畅率差异具有统计学意义。结论应用腹腔镜诊治术能早期、直观、准确、全面地了解不孕症在盆腔方面的病因,并予以针对性治疗。 相似文献
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46.
《Techniques in Vascular and Interventional Radiology》2018,21(2):92-104
Iliocaval thrombosis, or thrombosis of the inferior vena cava and iliac veins, is associated with significant morbidity in the form of limb-threatening compromise from phlegmasia cerulean dolens, development of post-thrombotic syndrome, and death secondary to pulmonary embolism. Endovascular iliocaval reconstruction is an effective treatment for iliocaval thrombosis with high levels of technical success, favorable clinical outcomes and stent patency rates, and few complications. It is often able to relieve the debilitating symptoms experienced by affected patients and is a viable option for patients who fail conservative management. This article presents an approach to endovascular iliocaval stent reconstruction in patients suffering from chronic iliocaval thrombosis that takes into consideration background, patient selection and indications, timing of intervention, procedural steps, technical considerations, postprocedural care, and outcomes, along with providing schematic illustrations that serve to outline iliocaval stent reconstruction and management of chronic venous occlusions. 相似文献
47.
《Minimally invasive therapy & allied technologies》2013,22(4):231-236
AbstractRevascularization of infrainguinal vessels is still a challenge. Complications such as flow-limiting dissections or perforation are responsible for a limited success rate. Failed revascularization attempt leads to amputation in a significant number of patients and increases mortality. We report the use of a novel percutaneous device using the CROSSER catheter® system in two patients with peripheral vascular disease. In case # 1 anterior tibial artery patency was restored in a diabetic foot and in case # 2 a chronic traumatic occlusion of the superficial femoral artery was revascularized. In both cases the lesion was recanalized in a short time without any procedure-related complications. The CROSSER catheter® system can overcome technical problems and make reentry devices and retrograde distal accesses less relevant. It opens new horizons for the treatment of complex below-the-knee lesions. 相似文献
48.
TADASUKE ANDO HITOSHI OHNO YUJI HIRATA AKIO EMOTO SYUNICHI OGATA HIROMITSU MIMATA 《International journal of urology》2005,12(4):405-408
A 31-year-old, previously normotensive healthy man developed right flank pain and was admitted to a medical service. Right renal infarction was suspected by enhanced abdominal computed tomography (CT) and arteriography. Fourteen days after the onset, he was transferred to the Oita University Hospital, Oita, Japan. Renal angiography revealed an isolated renal artery dissection causing renal atrophy due to main stem narrowing of the right renal artery. Renogram and renal scintigram with (99m)Tc-diethylene triamine pentaacetic acid revealed a remarkable decline in the glomerular filtration rate and almost no uptake in the right kidney. Four months later, in spite of our belief that functional recovery could not be expected, intravenous pyelography and enhanced abdominal CT scans revealed a functioning right kidney that had spontaneously recovered from the renal artery dissection through conservative management. 相似文献
49.
E. K. Lang 《European radiology》1998,8(3):461-465
The efficacy of transcervical recanalization of obstructed postoperative Fallopian tubes was evaluated in 29 patients who
were referred for recanalization. Nineteen had strictures at the site of Fallopian tube reconstruction, and five had strictures,
three had fistulae, and two had fistulae and strictures at the site of reversal surgery. A 0.014-inch highly flexible guidewire
was passed through the obstruction into the ampullary segment, followed by a 1.1–2.2 Fr bougie catheter to dilate the stricture.
After recanalization, the distal tube was studied by selective salpingography. The method was technically successful in 17
of 19 patients with underlying inflammatory disease and resultant postoperative strictures. The tubes remained patent in 12
patients for a period of 12–48 months; three patients conceived, all delivering healthy babies. Significant disease of the
distal tubes was present in seven patients. The technique succeeded in three of five patients with postoperative strictures
following reversal surgery. One patient subsequently conceived and delivered a healthy baby. The technique failed in all five
patients with fistulae complicating reversal surgery. Transcervical recanalization is thus recommended in the management of
patients with postoperative strictures with underlying inflammatory obstruction and strictures complicating reversal surgery.
Received 16 October 1995; Revision received 25 January 1996; Accepted 15 September 1997 相似文献
50.
目的 探讨改制导管行输卵管再通术治疗输卵管阻塞的疗效。方法 采用Cook公司6F直形导管或其他6F导管改制作介八导管,Terumo公司超滑导丝作再通器械,治疗患者36例。经造影诊断输卵管不通共64条。结果 输卵管实现再通54条,再通有效率达84.3%。其中有2例采用腹腔镜结合输卵管再通术实现再通;1例输卵管再通后8个月造影发现重新阻塞。结论 采用简化器械及手术方法进行输卵管介入再通术操作简便、费用低,是一种治疗输卵管阻塞病变安全有效的方法。 相似文献