经输卵管注药介入治疗慢性盆腔痛疗效观察  

Therapeutic effects of tubal injection on chronic pelvic pain and infertility

作　　者：王艳华[1] 王萍[1] 侯荣娟[1] 孙福平[1] 

机构地区：[1]大连医科大学附属第一医院三部妇产科,辽宁116011

出　　处：《中国生育健康杂志》2011年第6期331-333,共3页Chinese Journal of Reproductive Health

摘　　要：目的探索通过输卵管注药介入治疗慢性盆腔痛的疗效。方法应用输卵管通液诊断治疗仪对56例慢性盆腔痛患者结合超声监测通液诊断，根据输卵管通畅程度分别给予盆腔注药或输卵管疏通后介入治疗。结果56例盆腔疼痛患者输卵管通畅、不全阻塞和不通比例分别为33．9％、44．6％和21．4％。介入治疗对输卵管不全阻塞的疏通比例为72．0％，对输卵管完全不通的治愈比例为50．0％。对盆腔炎性后遗症的治愈和好转比例分别为28．6％和62．9％；对内异症的治愈和好转比例分别为14．2％和61．9％。1年后随访，治疗有效比例85．7％（48／56）；结论经输卵管注药介入治疗是一种准确易行、安全元创、科学有效的诊治慢性盆腔疾病的方法。Objective To evaluate the effect of the fallopian tube injection in the treatment of chronic pelvic pain. Methods Fifty - six cases with chronic pelvic pain were treated with tubal injection guided by ultrasound. Results Of the 56 cases, tube patency, jam and impassibility rate was 33.9 %, 44.6 % and 21.4 %, respectively. After treatment, 72.0% of the cases with partial jam were effective, and 50.0% for cases with impassibility. 28.6% and 62.9% of pa- tients with chronic pelvic pain were cured or relieved, respectively. For cases with endometriosis, 14.2% and 61.9% were cured or relieved, respectively. At the end of one - year follow - up, the overall effective rate was 85.7%. Conclusion Tubal injection was effective, easy, safe and noninvasive in the treatment of chronic pelvic diseases.

关 键 词：输卵管通液 介入治疗 输卵管阻塞性不孕 慢性盆腔痛 

分 类 号：R169.43[医药卫生—公共卫生与预防医学]