应用输卵管导向管经宫颈行输卵管造影及再通术  

Transcervical salpingography and tubal re- canahzation.

作　　者：武小文[1] 罗丽兰[1] 庄凤娣 

机构地区：[1]同济医科大学附属同济医院

出　　处：《中华妇产科杂志》1994年第3期165-167,T013,共4页Chinese Journal of Obstetrics and Gynecology

摘　　要：对２０例输卵管近端梗阻的患者经宫颈施行输卵管造影及再通术，并对杯状导管法及导向管法进行比较。结果：２０例患者有１９例输卵管获得再通，再通成功率为９５％；４例获宫内妊娠成功；８例输卵管近端梗阻松解后，远端显示不同的病变；７例术后半年输卵管仍保持通畅。输卵管造影及再通术中，患者接受放射剂量平均为６．３５ｍＧｙ。提示：应用导管对输卵管近端梗阻患者进行输卵管造影及再通术简便、有效。导向管法优于杯状导管法。he results of transcervical salpingography andtubal recanalization by means of modined Thurmond and Rosch's technique were reported. Proximal tubal obstruction was diagnosed in 20 infertile women byX-ray hysterosalpingography and / or laporoscopy. Our results showed that tubal recanalization wasachieved in 19(95 % ) of 20 patients, four patients be-came pregnanty following the procedure. Distal tubaldiseases were seen in 8 of 20 patients. Follow up stu-dies revealed tubal patency was maintained in 7(54%)of 13 patients. The mean radiation dosage received bythe patient was 6.35mGy. Compared with Thurmond and Rosch technique the modified technique has theadvantage of decreasing the time of fluroscopy and isa safe,effective and simple method for the diagnosisand treatment of infertile women with proximal tubalobstruction.

关 键 词：输卵管造影术 导向管 输卵管再通 

分 类 号：R816.91[医药卫生—放射医学]