介入性输卵管再通术及碘化油应用初步研究  

Preliminary Study for Interventional Recanalization and Application of Lipiodol in Fallopian Tube Obstruction

作　　者：黄湘荣[1] 李维金[1] 何庆[2] 田小燕[3] 张豹[1] 

机构地区：[1]湖南省怀化市第一人民医院放射科,湖南怀化418000 [2]湖南省肿瘤医院放射科 [3]湖南省怀化市第一人民医院妇产科,湖南怀化418000

出　　处：《实用放射学杂志》2004年第7期623-625,共3页Journal of Practical Radiology

摘　　要：目的　探讨介入性输卵管再通术在治疗输卵管阻塞性不孕症的临床效果及碘化油的应用价值。方法　观察组 2 1例 42条输卵管阻塞。对照组 16例 3 2条输卵管阻塞 ,对照组仅行介入性输卵管再通术 ,观察组在再通术成功后向输卵管内注入超液态碘化油丁胺卡那霉素乳剂。所有病例 6个月后复查。结果　观察组与对照组的再通率、术后受孕率分别为 81.0 %、81.3 %;2 8.6%、2 5 %。术后再通输卵管粘连复发率观察组 5 .88%、对照组 2 6.9%,比较两者差异具有显著性意义 (x2 =6.3 6,Ρ <0 .0 5 )。结论　介入性输卵管再通术是治疗输卵管阻塞性不孕的一项有效方法 。Objective To study the clinic effect of interventional tube recanalization in treating infertility with fallopian tubal obstruction and the applied value of lipiodol for the procedure .Methods 16 cases with 32 tubal obstructions in the comparison group were only treated by interventional tubal recanalization ,and 21 cases with 42 tubal obstructions in the reseach group were infused lipiodol-amikacin emulsion into the tube after recanalization successfully.All cases received examination during follow-up in 6 months .Results The successful rate of recanalizafion and pregnant rate between the reseach group and the comparison group were 81%,81.3%;28.6%,25%.The post procedure tubal adhesive rate were 5.88% in the reseach group and 26.9% in the comparison group,there was significant difference between the two groups(x 2=6.36,Ρ<0.05).Conclusion The interventional tubal recanalization is an effective treatment for the fallopian tube obstructive infertility.Application of lipiodol can decrease the recurrence of fallopian tube adhesion obviously .

关 键 词：介入治疗 输卵管再通术 碘化油 输卵管阻塞 不孕症 

分 类 号：R711.76[医药卫生—妇产科学] R711.6[医药卫生—临床医学]