选择性输卵管造影术的诊断及治疗意义

目的　探讨选择性输卵管造影术 (SSG)的诊断及治疗效果。方法　 1996年 6月至 2 0 0 2年 10月对 74例经子宫输卵管造影术 (HSG)诊断的输卵管阻塞患者行SSG诊治。结果　经过SSG后希望妊娠且随访 1年以上者 6 4例中妊娠 2 4例 ,妊娠率 37 5 %。其中自然妊娠 18例 ,人工授精 (AIH) 5例 ,配子输卵管内移植 (GIFT) 1例。双侧阻塞组 2 0例中有 3例妊娠占 15 0 % ;单侧阻塞组 4 4例中有 2 1例妊娠占 4 7 7%。即单侧阻塞组妊娠率高 ,与双侧阻塞组比较差异有显著性意义 (P <0 0 1)。结论　SSG因操作简便 ,疗效确实 ,适于临床应用

Diagnosis and treatment value of selective salpingography

Objective To investigate the value of diagnosis and treatment of selective salpingography(SSG).Methods Seventy four fallopian tube obstruction diagnosed by hysterosalpingography(HSG)were performed SSG from June 1996 to October 2002.Results After SSG,24 of the 64 patients who were followed up for over one year got pregnancy without contraception.The rate of pregnancy was 37\^5%.Among them,18 cases got pregnancy naturely,5 through AIH,1 by GIFT,3(15\^0%)in the 20 bilateral fallopian tube obstruction and 21(47\^7%)in the 44 unilateral fallopian tube obstruction got pregnancy.The pregnancy rate in the unilateral obstruction was significantly higher than that in bilateral obstruction cases(P<0\^01).Conclusion The operation of SSG is simple with definite value,so it is suitable for clinical application.