加压法子宫输卵管造影在输卵管间质部阻塞中的应用

发布时间：2018-07-03 00:31

本文选题：子宫输卵管造影 + 输卵管阻塞　；参考：《实用妇产科杂志》2015年01期

【摘要】：目的:分析加压法子宫输卵管造影在输卵管间质部阻塞中的应用价值。方法:选择因不孕症行子宫输卵管造影患者共62例分成两组,加压组采用气囊压迫法及胃肠X线机压迫器机械压迫输卵管阻塞部位,对照组行常规子宫输卵管造影检查,统计两组输卵管再通率。结果:加压组31例患者共41支输卵管间质部阻塞,再通输卵管共24支,再通率58.5%;对照组31例患者共42支输卵管间质部阻塞,造影结束后再通共7支,再通率16.7%,两组再通率比较,差异有统计学意义(P0.05)。加压组4例患者发生轻度不良反应;对照组3例患者轻度造影剂反应。术后随访6个月,加压组31例患者妊娠9例(29.0%),对照组31例患者妊娠3例(9.7%),两组术后妊娠率比较,差异有统计学意义(P0.05)。结论:加压法子宫输卵管造影在输卵管间质部阻塞中有较高应用价值。
[Abstract]:Objective: to analyze the value of hysterosalpingography in tubal interstitial obstruction. Methods: Sixty-two patients with infertility underwent hysterosalpingography were divided into two groups. The compression group was treated with balloon compression method and the gastrointestinal X-ray compressor was used to compress the obstruction of the fallopian tube, while the control group was examined by conventional hysterosalpingography. The recanalization rate of fallopian tube was calculated. Results: there were 41 tubal interstitial obstruction and 24 recanalization of fallopian tubes in the compression group, and the recanalization rate was 58.5 in the control group, 42 tubal interstitial obstruction in 31 patients in the control group and 7 recanalization after angiography in the control group. The rate of recanalization was compared between the two groups. The difference was statistically significant (P0.05). Mild adverse reactions occurred in 4 patients in the compression group and in 3 patients in the control group. Follow-up for 6 months showed that there were 9 pregnancies (29.0%) in the compression group and 3 (9.7%) in the control group. There was significant difference in the pregnancy rate between the two groups (P0.05). Conclusion: hysterosalpingography has high value in tubal interstitial obstruction.
【作者单位】：江苏省海门市人民医院;
【分类号】：R711.76

【共引文献】