输卵管积水介入栓塞治疗效果临床分析

目的:探讨输卵管积水介入栓塞治疗的方法、效果、积水栓塞后对于体外受精-胚胎移植(in vitro fertilization andembryo transfer,IVF-ET)的影响。方法:对2009年1月至2011年12月就诊于我院行IVF-ET患者300例临床资料进行回顾性分析。病例分为三组。A组:因输卵管积水行输卵管介入栓塞术的患者200例为栓塞组;B组:选取输卵管积水结扎治疗组50例;C组:以既往的输卵管积水未治疗组50例为对照组。结果:A组的200例患者共栓塞350条输卵管。栓塞效果良好的输卵管有348条(99.7%);弹簧圈脱落至伞端2条,无效率为0.03%。A组及B组患者的平均临床妊娠率均高于C组,差异有显著性(P<0.05)。结论:输卵管介入栓塞术不会影响卵巢的血供,也不受腹腔粘连的影响,对于腹腔粘连严重的输卵管积水患者来说有更重要的临床应用价值,输卵管介入栓塞是IVF-ET前一种较好的输卵管积水处理方式。

Clinical Analysis of The Therapeutic Effects of Interventional Embolization on Hydrosalpinx

Objective： To study the method, effect of interventional embolization on the treatment of hydrosalpinx and hydroceph- alus after embolization for in vitro fertilization and embryo transfer （IVF-ET） effect. Methods ： Clinical data 300 cases of IVF-ET were retrospectively analyzed from Jan 2009 to Dec 2011 in our hospital. The cases were divided into three groups. Group A. Fallo- pian tube embolization in 200 cases, Group B ： Selection of hydrosalpinx ligation in 50 cases, Group C ： Hydrosalpinx without a treat- ment in 50 cases. Results： 200 cases in group A embolismed 350 fallopian tubes. Fallopian tube which had good embolic effect was 348 （99.7%）. Coil falling to the umbrella end was 2 （0. 03% ）. Group A and B with a mean clinical pregnancy rates were higher than those in group B, the difference was statistically significant （P 〈 0. 05 ）. Conclusion： Fallopian tube embolization does not af- fect ovarian blood supply, nor by the intraperitoneal adhesion effect. For hydrosalpinx cases with severely abdominal adhesions has important clinical application value. Fallopian tube embolization before IVF-ET is a good management of hydrosalpinx.