选择性输卵管造影与再通术治疗输卵管阻塞性不孕症

目的:探讨应用自制导管系统治疗输卵管阻塞性不孕症的临床价值、疗效。方法:对35例输卵管阻塞性不孕症患者采用自制导管行SSG和FTR,术后应用抗菌素3~5 d。结果:35例中HSG发现67条输卵管不通,其中有54条再通,再通率80.6%,间质部与峡部阻塞,再通率92.7%,壶腹部及伞端阻塞,再通率25%。术后随访1~3年,受孕率34.2%。结论:自制导管系统行SSG与FTR术操作简便,疗效确切。是1种安全有效的治疗方法。

The technology of selective salpingography and fallopian tube recanalization in the treatment of sterilization caused by oviduct emphraxis

Objective:To discuss the clinical value and effectivity of self-made catheter system in treating sterilization caused by oviduct emphraxis.Methods:35 patients with sterilization caused by oviduct emphraxis were treated with selective salpingography(SSG) and fallopian tube recanalization(FTR) by self-made catheter and administer bacteriophage 3~5 days after operation.Results:67 pieces of oviduct emphraxis were found in 35 cases and 54 pieces were re-opened by operation,and the rate of re-opening was 80.6%;the rate of re-opening of interstitial portion and isthmus was 92.7%;the rate of re-opening of ampullae and umbrella was 25%.The pregnant rate was 34.2% after operation for 1~3 years following-up.Conclusion:The operation of SSG and FTR by self-made catheter system could be worked conveniently and easily,which has verified therapeutic effect as an effective and safe therapy method.