输卵管性不孕症的介入治疗（附36例报告）

目的评价选择性输卵管造影与再通术在治疗输卵管性不孕症中的疗效与安全性。方法36例双侧输卵管阻塞的不孕症患者，在X线电视透视下行选择性输卵管造影与再通术。结果72支输卵管疏通成功63支，再通成功率87．5％；术中、术后无严重不良反应与并发症；经随访，再通术后6个月内，36例中有12例妊娠，受孕率33．3％。结论选择性输卵管造影与再通术诊治输卵管阻塞性不孕经济、安全、有效，可作为输卵管性不孕症首选的诊治方法。

Clinical observation of interventional treatment for tubal infertility:Report of 36 cases

Objective To evaluate the efficiency and safety of selective salpingography and fallopian tube recanatizalion for tubal infertility. Methods Thirty-six cases were diagnosed by hysterosalpingogram,selective salpingography or fallopian tube recanalization was performed by catheter. Results Sixty-three of 72 tubes became patent by selective salpingography and fallopian tube recanalization.Effective rate was 87.5%.No serious complications occurred.All patients were followedup for six months. Twelve cases of follow-up had intrauterine pregnancies after recanalization.Pregnancy rate was 33.3%.Conclusion Selective salpingography and fallopian tube recanalization are simple, safe and effective procedure for the diagnosis and treatment of tubal infertility. Interventional treatment can be served as the first choice in diagnosing and treating tubal infertility.