子宫腔内置节育器者行输卵管栓塞术

发布时间：2018-06-26 13:13

本文选题：输卵管栓塞术 + 输卵管积水　；参考：《中国医学计算机成像杂志》2017年05期

【摘要】：目的:探讨输卵管积水患者子宫内置节育器时,行输卵管栓塞术的技能以及可能性。方法:回顾分析了158例需要行IFV-ET治疗的患者,同时伴有宫腔粘连和输卵管积水,术前在妇科宫腔镜下,行宫腔粘连分离术,并且置入节育器,防止宫腔再次粘连。患者在宫腔内置入节育器时,行输卵管栓塞术。结果:宫腔粘连患者158例,均为两侧输卵管积水,宫腔内有节育器,节育器形态有圆形、V形和T形。158例患者均行两侧输卵管栓塞。栓塞后,HSG显示两侧输卵管栓塞满意,宫腔内节育器无移位。结论:患者宫腔内的节育器对操作有一定的影响,行输卵管选择性插管时,一定要谨慎,缓慢绕过节育器,避免对节育器的移位。输卵管栓塞效果十分满意,同时可以缩短宫腔粘连分离术后到胚胎移植的时间,防止宫腔再次粘连降低IVF-ET的成功率。
[Abstract]:Objective: to explore the technique and possibility of tubal embolization in patients with hydrosalpinx. Methods: 158 patients who needed IFV-ET treatment were retrospectively analyzed, accompanied by intrauterine adhesions and hydrosalpinx. Before operation, intrauterine adhesions were performed under gynecologic hysteroscopy, and IUD was inserted to prevent further intrauterine adhesions. The patient underwent tubal embolization when the device was inserted into the uterine cavity. Results: 158 patients with intrauterine adhesions were treated with bilateral hydrosalpinx, IUD, circular V-shaped and T-shaped tubal embolization. After embolization, HSG showed satisfactory tubal embolization and no displacement of intrauterine device. Conclusion: the IUD in the uterine cavity of the patients has a certain influence on the operation. The selective tubal intubation should be carefully circumvented slowly to avoid the displacement of the IUD. The effect of fallopian tube embolization is satisfactory, and it can shorten the time of embryo transfer after separation of uterine cavity adhesion, and prevent uterine cavity adhesion from reducing the success rate of IVF-ET.
【作者单位】：上海市浦东新区妇幼保健院放射科;
【基金】：上海市浦东新区卫生科技基金项目(PW2012A-42)~~
【分类号】：R713;R816.91

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