宫-腹腔镜联合输卵管复通术再通输卵管的效果评价

目的：评价宫-腹腔镜联合输卵管复通术的术后输卵管复通率及输卵管不同部位的复通率。方法：对2008年1月—2009年12月880例不孕症患者共1 760条输卵管进行宫-腹腔镜联合输卵管复通术，观察其术后的输卵管复通率。结果：宫-腹腔镜联合输卵管复通术的复通率为74.5%。其中，间质部为65.8%，峡部为56.5%，壶腹部为36.7%，伞端为86.0%。术后随访2年自然妊娠率39.6%。结论：输卵管伞端复通率最高，间质部次之，壶腹部复通率最低。

Effects of Laparoscopy Guided Hysteroscopic Tubal Catheterization

Objective：To evaluate the rate of postoperative recanalization in different parts by laparoscopy guided hysteroscopic fallopian tube catheterization. Methods：From January 2008 to December 2009，880 infertile patients with 1 760 fallopian tubes were performed by laparoscopy guided hysteroscopic tubal catheterization. Postoperative recanalization rate was observed. Results：The total rate of selective tube recanalization was 74.5%. The recanalization rate in tubal fimbria，interstitial and ampulla was 86.0%，65.8% and 36.7% respectively. The postoperative spontaneous pregnancy rate was 39.6% in 2-year follow up. Conclusions：The highest rate of tubal recanalization by laparoscopy guided hysteroscopic tubal catheterization was fimbria block，and then interstitial and ampulla part.