输卵管再通术联合腹腔镜治疗输卵管性不孕39例临床分析

目的探讨输卵管再通术联合腹腔镜治疗输卵管阻塞性不孕的临床效果。方法回顾分析2001-07—2008—12因不孕接受介入输卵管再通术（FTR）联合腹腔镜手术治疗输卵管近端阻塞合并同侧或对侧远端粘连阻塞患者39例的临床资料。结果本组39例76条输卵管阻塞，经FTR与腹腔镜联合治疗后输卵管通畅率为93．42％（71／76），术后3个月造影复查输卵管再次阻塞率为11．27％（8／71）；术后回访2年妊娠率为33．33％（13／39）。结论FTR联合腹腔镜治疗输卵管阻塞性不孕症疗效好，两者通过优势互补，有效地提高输卵管的再通成功率，为治疗不孕症提供了一个较好的临床手段。

The clinical analysis of fallopian tube recanalization in combination with laparoscopic treatment in tubal infertility

Objective To explore the effect of fallopian tube recanalization （FTR） in combination with laparoscopie treatment on tubal infertility. Methods A retrospective analysis of the outcome of 39 patients who have received FTR in combination with laparoseopie treatment was performed. The chosen study population consisted of patients who presented with proximal tubal obstruction with either side distal tubal obstruction and was treated between July 2001 and December 2008. Results In a total of 39 patients with 76 obstructed fallopian tubes, giving a success rate for the procedure of 93.42% （71/76）. Three-month follow-up salpingography revealed a re-obstruction rate of 11.27% （8/71）. Two-year follow up revealed a spontaneous pregnancy rate of 33.33% （13/39）. Conclusion FTR in combination with laparoseopic treatment is very effective in tubal infertility. FTR and laparoseopic treatment have complementary strengths and effectively improve the recan-alization rate, so it can be considered an effective tool for tubal infertility.