输卵管再通术结合中药治疗阻塞性不孕症的临床应用  

The Clinical Application of Fallopian Tube Recanalization Via Curing Infertility of Obstruction with Chinese Medicine

作　　者：刘鹏[1] 练辉[2] 

机构地区：[1]惠东县妇幼保健院放射科,广东惠东516300 [2]广州医学院第二附属医院放射科

出　　处：《现代医用影像学》2005年第3期100-102,108,共4页Modern Medical Imageology

摘　　要：目的:评价输卵管再通术结合中药治疗阻塞性不孕症的临床疗效和价值.材料与方法:对31例输卵管阻塞性不孕症患者采用选择性输卵管造影、输卵管再通术和中药治疗,术后3个月复查输卵管通畅情况,6～12个月后随访受孕情况.结果:31例中经常规子宫输卵管造影发现60条输卵管阻塞,有51条被疏通,再通率为85%.共中间质部阻塞再通成功率为95.7%,峡部阻塞再通成功率为88.5%,壶腹部阻塞再通成功率为66.7%,伞端阻塞再通成功率为0%.术后随访3至12个月,受孕率32.3%,再闭塞率为9.8%.未发现严重并发症.结论:输卵管再通术结合中药治疗输卵管阻塞性不孕症疗效确切.特别是对输卵管近端阻塞效果更好.术后再闭塞率低.Purpose： To evaluating the clinical curative effect and value on fallopian tube recanalization via curing infertility of obstruction with chinese medicine. Materials and Methods： Adopting the selective salpingography （SSG）, fallopian tube recanalization （FIR） and Chinese medicine treatment for 31 patients, reexamining the canalization condition of fallopian tube 3 months after tile operation, and investigating the pregnant condition 6 to 12 months later. Results： 60 fallopian tubes were found obstruction by hysterosalpingography （HSP） among 31 eases and 51 fallopian tubes were recanalizated, the recanalization ratio was 85%. The recanalization ratio of uterine part obstruction was 95.7% ; the recanalization ratio of isthmus part obstruction was 88.5%; the recanalization ratio of ampulla＇s part obstruction was 66.7%; the recanalization ratio of fimbria part obstruction was 0%. 3 to 12 months later after the operation, pregnant ratio was 32.3%, re - obstruction ratio was 9.8% but no serious complication was found. Conclusion： The curative effect for infertility is valuable, especially the curative effect for the near- part obstruction of fallopian tube is better and the re - obstruction ratio is very low after the operation。

关 键 词：输卵管再通术 中药 治疗 阻塞性不孕症 临床应用 

分 类 号：R711.6[医药卫生—妇产科学]