选择性输卵管造影及输卵管阻塞的介入治疗

目的为明确输卵管阻塞部位,提供一种安全、可靠、成功率高的诊断和治疗方法。方法对50例23～38岁女性不孕症患者,确诊为两侧或单侧输卵管狭窄、粘连或闭塞,采用同轴导管系统,利用微导丝的机械作用和再通液的消炎、抗粘连等作用,疏通和治疗输卵管狭窄、阻塞或粘连病变。术后抗炎及定期输卵管通液治疗。结果插管成功率为92%,再通成功率为86.7%,无严重并发症。术后1年随访怀孕23例,达46%。结论选择性输卵管造影及再通术是诊治输卵管性不孕的一种微创有效的介入治疗技术。

Selective salpingography and interventional treatment of fallopian tube obstruction

Objective To determine the location and degree of fallopian tube obstruction,providing a safe reliable and effective treatment. Method 50 infertile women with unilateral or bilateral fallopian tube stenosis, adhesion and obstruction were selected for this study, with ages range of 23 to 38 years. Selective salpingography was performed using co-axiol catheterization with micro-guide wire mechanism combined with recanalization, anti-inflammatory agents during the procedure and postoperative period. Results The rate of properly performed catheter and recanalization reached 92% and 68.7%, respectively. During the follow-up of one year, 23 cases (23/50, 46%) obtained ability of pregnancy. Conclusion Selective salpingography with fallopian tube recanalization is a minimally invasive method to treat tubal infertility. (J Intervent Radiol, 2006, 15: 290-292)