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文评价经宫颈输卵管再通术治疗输卵管阻塞性不孕的临床效果。材料与方法:选择经临床、子宫输卵管造影或/和腹腔镜证实的102例输卵管阻塞性不孕病人,共计176条输卵管,作选择性输卵管造影、导丝导管再通术和药物灌注术,随访半年至一年。结果:155条近段输卵管阻塞,有139条获得再通,再通率为89.7％,21条远段阻塞有12条获得再通,再通率为57.1％,宫内妊娠率为35.5％,异位妊娠率为1.2％,再闭塞率为12.5％。结论:介入性输卵管再通术对近段输卵管阻塞病人有良好的治疗作用,对不能再通的病例能明确诊断其阻塞的部位和程度以指导进一步治疗方案。
Evaluation of the clinical effect of tubal recanalization treated by tubal obstruction infertility. MATERIALS AND METHODS: A total of 176 tubal obstructive infertility patients who were confirmed by clinical, hysterosalpingography and / or laparoscopy were selected. A total of 176 fallopian tubes were selected for selective salpingography, guide wire catheter recanalization and drug infusion, followed up Six months to a year. Results: Of the 155 proximal tubal obstruction, 139 were recanalized, the recanalization rate was 89.7%, 21 of 21 distal obstructions were recanalized, the recanalization rate was 57.1%, the intrauterine pregnancy rate was 35.5% Ectopic pregnancy rate was 1.2%, re-occlusion rate was 12.5%. Conclusion: Interventional tubal recanalization has a good therapeutic effect on tubal occlusion in patients with proximal tubal occlusion, and can identify the site and extent of obstruction in cases of recanalization to guide further treatment.