DSA下双腔气囊导管加压注射输卵管再通术37例分析

目的 探讨简捷、安全和有效的输卵管再通治疗方法。方法 采用ＤＳＡ下双腔气囊导管加压注射输卵管再通术治疗输卵管阻塞性不孕３７例（原发性不孕１７例和继发性不孕２０例，平均不孕期４年）。３７例中行１次治疗１８例，２次治疗１６例和３次治疗３例。结果输卵管再通成功９５％（３５／３７例）、失败和不满意各１例。多次治疗者盆腔粘连减轻者占７９％（１５／１９），相仿１６％（３／１９例）和加重５％（１／１９例）。结

Analysis of fallopian tube recanalization in 37 cases with Foley catheter infusion under pressure through DSA

Objective To investigate the safe, effective, simple and direct method in the recanalization of fallopian tubal obstruction. Methods Fallopian tubal obstructive infertility in 37 cases were recanalized with Foley catheter under pressure infusion through DSA, including primary infertility in 17 cases and se condary infertility in 20 cases. The average infertility term was 4 years. Results In the 37 cases, 18 cases were treated once, twice in 16 cases, and thrice in 3 cases. The oviduct recanalization rate was 95%(35/37) with one failure and another unsatisfactory. After several times of recanalization in 19 cases, the pelvic cavity adhesion were reduced in 15 cases (79%), no change in 3 cases (16%), and aggravated in one case (5%). Conclusions This method is simple, cheap, safety, effective and low in X ray exposure. We insist on the pelvic cavity adhesion is still the chief cause of infertility after recanalization and still need other kind of treatment.