超声造影下导丝治疗输卵管阻塞性不孕症  

The clinical research of ultrasonic salpingography and fallopian tube recanalization to infertile women with tube obstruction

作　　者：李向农[1] 李长云[1] 申燕[1] 和朝平[1] 陈剑敏[1] 

机构地区：[1]中国人民解放军第252医院超声科,河北保定071000

出　　处：《医学研究与教育》2011年第2期20-22,共3页Medical Research and Education

摘　　要：目的探讨超声造影下导丝疏通治疗输卵管阻塞性不孕症的临床价值。方法患者月经干净后3～7d,使用3F微导管及0.015in导丝对阻塞的输卵管行介入再通术,在Sonovue超声造影下观察输卵管再通情况,评价导丝治疗效果。结果治疗前阻塞的34条输卵管,再通术后21条通畅,7条通而不畅,6条疏通失败;治疗前通而不畅的12条输卵管,再通术后8条通畅,4条疏通失败。治疗后再通率63.04%。结论超声造影下导丝再通治疗输卵管阻塞性不孕症是一种简单、安全、有效的新方法,具有重要临床价值。Objective To explore the clinical value of ultrasonic salpingography（uSg） and fallopian tube recanalization（FTR）.Methods FTR was performed by 3F microcatheter and 0.015in guidewire to recanalize occluded fallopian tubes after menstrual period ends 3 to 7 days.uSg was made after FTR and effect was evaluated.Results in 34 complete occluded fallopian tubes,21 recanalized after procedure,7 partially recanalized and 6 failed to recanalization.in 12 incomplete occluded fallopian tubes,8 recanalized after procedure and 4 failed to recanalization.The total recanalization rate was 63.04.Conclusion FTR with uSg have effective treatment on tubal infertility.The techniques are new,simple,safe,and credible,and worth to be applied in clinical practices.

关 键 词：输卵管阻塞 导丝 疏通 SONOVUE超声造影 

分 类 号：R71[医药卫生—妇产科学]