介入性再通术治疗输卵管阻塞性不孕症的临床应用

目的 :研究介入性再通术治疗输卵管阻塞性不孕症的临床疗效和综合治疗技术。方法 :将同轴导管沿着特制角部定位导丝插入子宫角部 ,输卵管插管成功后 ,对阻塞段行导丝再通或高压推注法再通。在介入性再通术基础上结合中医活血化瘀法辅助治疗。结果 :再通率为 90 %。介入结合中医药组 66例 ,2 9例受孕 ,受孕率为 43 .9% ;单纯介入组42例 ,16例受孕 ,受孕率为 3 8.1% ,两组受孕率比较 ,P <0 .0 1,综合治疗组受孕率高于后者。对 10 8例患者利用特制钩形角部定位导丝行介入再通 ,插管成功率为 10 0 %。伞端再通成功率为 60 %。结论 :介入再通结合中医活血化瘀法综合治疗输卵管阻塞性不孕症 ,明显提高了临床疗效。

Clinical application of interventional recanalization treatment for fallopian tube obstruction infertility

Objective:To study the clinical effectiveness of the interventional recanalization of the obstructed Fallopian tube to treat the infertility using a combining technique.Methods:The coaxial catheter was inserted into cornua uteri along the specially preshaped guide wire. After the Fallopian tube was successfully catheterized, the catheter was pushed with higher pressure through the obstructed segment. Traditional Chinese medicine was used later as an auxiliary therapy. Results: The success rate of recanalization was 90%. In 66 cases of intervention combining traditional Chinese medicine, 29 cases conceived and the conceiving rate was 43.9%. In 42 cases of simple intervention, 16 cases conceived and the conceiving rate was 38.1%. The difference of conceiving rate of two groups was significant, P<0.01. The conceiving rate of combining treatment was higher.In 108 cases using the special preshaped guide wire,the success rate of catheterization was 100%.The success rate of fimbria recanalization was 60%.Conclusion:The interventional recanalization method combining traditional Chinese medicine to treat the infertility due to Fallopian tube obstruction, the clinical curative effect is obviously increased.