输卵管阻塞性不孕的介入治疗

目的探讨介入治疗输卵管阻塞性不孕的临床疗效。方法对636例经子宫输卵管造影诊断为输卵管阻塞性不孕患者在X线监视下行输卵管介入再通术。结果636例患者中984条输卵管完全阻塞，其中804条（81．7％）复通成功；不完全阻塞输卵管252条，252条（100％）复通成功。该组病例中复通总成功率88．3％，术后1年内再闭塞率为6．8％，180例（28．3％）患者发生宫内妊娠，4例患者发生异位妊娠。结论介入治疗输卵管阻塞性不孕具有诊断和治疗双重作用，操作简单，安全，疗效好，值得临床推广。

Clinical Analysis of Interventional Therapy on Tubal Recanalization

Objective To explore the clinical efficacy of the interventional recanalization for infertile women with fallopian tube obstruction. Methods 636 infertile patients with fallopian tube obstruction diagnosed by hystero-salpin-gngraphy were treated with interventional tubal recanalizafion under X-ray. Results Among 636 patients with 984 complete fallopian tubes obstruction,there were 804 recanalization in tile 984 fallopian tubes and the successful rate of recanalization was 81.71%. Among 252 fallopian tubes with not complete obstruction ,there were 252 recanali-zation in the 252 fallopian tubes and the successful rate of recanalization was 100%. The all successful rate of reca-nalization was 88.3%. These patients pregnancy rate was 28.30% in one year and the second fallopian tube obstruc-tion rate was 6.79%. There was 4 ectopic pregnancy. Conclusions Interventional tubal recanalization has important application in the diagnosis and treatment for infertile women with fallopian tube obstruction, h has merit, such as simple, safe and good effect.