选择性输卵管造影与再通术53例分析

目的：探讨选择性输卵管造影(输卵管再通术)诊断及治疗输卵管阻塞的效果。方法：对子宫输卵管造影(HSG)输卵管有阻塞的53例患者，行选择性输卵管造影(SSG)与再通术的诊疗。结果：子宫输卵管造影角部、峡部阻塞61条(72．6％)，行SSG证实只有47条(56％)阻塞(狭窄)，2条通畅，另有12条为壶腹部阻塞；84条常规子宫输卵管造影显示壶腹部阻塞23条(27．1％)，经SSG证实有32条(38％)阻塞(狭窄)，3条通畅；53例中SSG检查5例无阻塞；近端输卵管阻塞再通成功率83％，壶腹部成功率40．6％；随访49例，1～2年，9例生产，2例宫外孕。结论：选择性输卵管造影(输卵管再通术)诊治输卵管阻塞安全、有疗效。

Selective Salpingography(SSG) and Fallopian Tube Recanalization A report of 53 Cases (FTR)

Objective:To observe the effect of selective salpingography(fallopian tube recanalization)for the diagnosis and treatment of fallopian tube obstruction.Methods:Fifty-three fallopian tube obstruction diagnosed by hysterosalpingoraphy(HSG)were performed SSG.Results:Sixty-one tubes of isthmic and uterine horn obstruction diagnosed by HSG were performed SSG,which showed 47(56%)fallopian tube obstruction and 12 fimbrial obstruction and 2 patency of tube;23 isthmic obstruction found in 84 cases of HSG but 32 fallopian tube obstruction and 3 patency of tube in SSG; 5 no obstruction in 53 cases of SSG;proximal end recanalization rate 83% and 40.6% in fimbrial;9 delivery and 2 ectopic pregnant were observed after 49 cases were followed up for 1~2 years.Conclusion:Selective salpingography and Fallopian tube recanalization are safe and effective for diagnosis and treatment on tubal infertility.