选择性输卵管造影联合再通术治疗输卵管梗阻性不孕症的应用

发布时间：2018-11-16 17:14

【摘要】：目的探讨选择性输卵管造影联合再通术治疗输卵管梗阻性不孕的临床效果。方法选取2013年10月-2014年9月石河子市人民医院及上海交通大学附属瑞金医院就诊的输卵管梗阻性不孕患者59例作为研究对象,按照是否有后续治疗意愿分为实验组41例及对照组18例。实验组行选择性输卵管造影联合再通术,对照组未行特殊治疗,并持续电话及门诊随访12个月。结果实验组41例患者中,双侧输卵管阻塞者16例,单侧输卵管阻塞者25例,57条不同程度阻塞的输卵管中,间质部13例,峡部20例,壶腹部15例,伞部9例。对照组18例患者中,双侧输卵管阻塞者5例,单侧输卵管阻塞者13例,23条不同程度阻塞的输卵管中,间质部7例,峡部8例,壶腹部4例,伞部4例。实验组经治疗后再通输卵管52条,总再通率为91.2%,其中再通间质部13例,峡部19例,壶腹部14例,伞部7例。通过随访,实验组受访37例,受孕16例,再孕率为43.2%,对照组受访15例,受孕2例,再孕率为13.3%(P0.05)。结论选择性输卵管造影联合再通术治疗输卵管梗阻性不孕是一种行之有效的方法,值得推广应用。
[Abstract]:Objective to investigate the clinical effect of selective salpingography combined with recanalization in the treatment of tubal obstructive infertility. Methods 59 infertile patients with tubal obstruction were selected from Shihezi people's Hospital and Ruijin Hospital affiliated to Shanghai Jiaotong University from October 2013 to September 2014. The patients were divided into experimental group (n = 41) and control group (n = 18). The experimental group was treated with selective salpingography combined with recanalization, while the control group was followed up by telephone and outpatient for 12 months. Results among 41 patients in the experimental group, 16 were bilateral tubal obstruction, 25 were unilateral fallopian tube obstruction, 13 were interstitial obstruction, 20 were isthmus, 15 were ampulla and 9 were umbrella. In the control group, there were 5 cases of bilateral tubal obstruction, 13 cases of unilateral fallopian tube obstruction, 7 cases of interstitial tubal obstruction, 8 cases of isthmus, 4 cases of ampulla and 4 cases of umbrella. The total recanalization rate was 91.2 in the experimental group, including 13 cases of interstitial recanalization, 19 cases of isthmus, 14 cases of ampulla and 7 cases of umbrella. Through follow-up, 37 cases were interviewed in the experimental group, 16 cases were pregnant, the re-pregnancy rate was 43.22.15 cases were interviewed in the control group, 2 cases were pregnant, and the re-pregnancy rate was 13.3% (P0.05). Conclusion selective salpingography combined with recanalization is an effective method for the treatment of tubal obstructive infertility.
【作者单位】：石河子市人民医院;上海交通大学附属瑞金医院卢湾分院;
【基金】：石河子市科技计划项目(2014YL08)
【分类号】：R711.6

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