子宫显著屈曲患者的输卵管再通术

目的：探讨利用自制装置对子宫显著屈曲合并输卵管梗阻的不孕患者进行输卵管再通术的插管方法并分析其疗效。方法：经子宫输卵管造影证实子宫显著屈曲伴单侧或双侧输卵管阻塞患者48例，共66争输卵管阻塞，应用自制装置，配合使用各种手术器械，施行选择性输卵管造影及再通术。采用复通率及妊娠率（随访2年）评价输卵管再通术的治疗效果，并将其与子宫位置正常患者进行比较。结果：48例患者均插管成功，施行再通术后，有56条输卵管复通，复通率为84．8％，随访2年后9例妊娠，妊娠率18．8％，妊娠率低于子宫位置正常患者，而复通率与子宫位置正常患者相近。结论：使用自制装置能够较方便完成显著屈曲子宫的输卵管再通术，各种手术器械的配合使用有利于成功插管。

Fallopian Tube Recanalization in Patients with Marked Flexion of Uterus

Objective:To study the value of a self-made equipment in the recanalization of fallopian tube for infertile patients with marked flexion of uterus associated with unilateral/bilateral fallopian tube obstruction and to analyze the curative effect.Methods:48 patients with marked flexion of uterus associated with unilateral or bilateral fallopian tube obstruction were diagnosd by hysterosalpingography.There were altogether 66 tubes obstructed,selective salpingography and recanalization of fallopian tubes were ...