输卵管阻塞的影像学分析及其中西医结合介入治疗

目的:通过输卵管造影探讨和论证输卵管阻塞狭窄的原因及其中西医结合介入治疗的临床效果。方法:对109例均行子宫输卵管造影,进行影像学及临床治疗效果分析,其中105例行再通术,并联合应用中西药内服外用。结果:插管成功率96.3％,原发性不孕21例,继发性不孕88例,再通成功率73.3％,术后受孕率29.5％,术后粘连复发率26.7％。结论:输卵管造影术是一种诊断明确、操作简便的影像学检查方法,对不孕不育的原因及疗效评定能提供确切依据。中西医结合介入再通术方法成功率高、效果显著,是目前较理想的治疗方法。

Imaging technology analyze about fallopian tubes and interventional treatment combining with TCM and western medicine

Objective: To discuss and prove the causes of fallopian tube stenosis and the clinic effects of interventional treatment by fallopian tube images. Methods: We selected 109 patients in the year 1999-2002 and analyzed the clinic effects of clinic treatment and imagenation by hysterosalpingography. 105 patients were performed recanalization, combined with traditional Chinese medicine and western medicine. Results: Success rate in intubation was 96.3% , original infertility 21 instances, followed infertility 88 instances, the reversal rate, post procedure pregnant rate and post procedure adhesive rate are 73. 3% ,29.5% ,26.7% respectively. Conclusions: The fallopian tube images are simple methods what can provide definite basis about infertility. Interventional therapy combining with TCM and western medicine is an effective and successful method.