介入性输卵管再通术及碘化油的应用价值

目的 探讨和论证介入性输卵管再通术后治疗输卵管阻塞的临床效果及40%碘化油的应用价值。方法 在1996-1998年的病例中随机抽样30人共60条输卵管为对照组，以1999-2000年病例中随机抽样30例60条输卵管为观察组，进行手术效果分析。结果 对照组，观察组的再通率，术后受孕率，术后粘连复发率分别为83.3%,88.3%,23.3%,26.6%,34.3%,11.5%。结论 输卵管介入再通是治疗输卵管性不孕的一项有效的治疗方法。40%碘化油术中的应用可以明显降低输卵管粘连的复发率。

Interventional repatency of ligated fallopian tubes and value of lipiodol in the procedure

Objective To discuss and prove the clinic effect of interventional reversal of ligated fallopian tubes in treating fallopian tubes stenosis and value of lipiodol for the procedure. Methods We select randomly 30 patients in the year 1996-1998 with 60 fallopian tubes as the control group. And 30 patients in the year 1999-2000 with 60 fallopian tubes as the monitor group. We analyzed the procedure effect on the 60 patients with 120 fallopian tubes. Results The reversal rate, post procedure pregnant rate and post procedure adhesive rate between the control group and the monitor group are 83.3% , 88.3% ; 23.3% , 26.6% ; 34.3% , 11.5% respectively. Conclusions The interventional repatency of fallopian tubes is effective for the fallopian infertility. Application of 40% lipiodol for the procedure can decrease the recurrence of fallopian tube adhesion.