选择性输卵管造影及输卵管再通术对不孕症患者血清抗体的影响  

The effect of selective salpingography and fallopian tube recanalization on the serum antibodies in patients with tubal occlusion infertility

作　　者：彭郑超 谭一清 李海涛[2] 

机构地区：[1]武汉市武昌医院介入放射科,湖北武汉130063 [2]三峡大学第一临床医学院放射科

出　　处：《实用放射学杂志》2012年第7期1110-1112,1123,共4页Journal of Practical Radiology

基　　金：湖北省武汉市2010-2011年度卫生行业科研基金资助项日（编号：WX11D16）

摘　　要：目的探讨介入再通术对输卵管阻寒性不孕症患者抗精子抗体等免疫功能的影响。方法经常规输卵管造影诊断为输卵管阻塞性小孕症240例，介入再通术前后分别3次查血测定抗精子抗体IgG（AsAb）、抗子宫内膜抗体IgG（EmAb），并对指标进行统计学分析。结果240例415条输卵管319条介入再通成功，成功率为9，1．70％。手术前后分3次测定的IgG（AsAb）、IgG（EmAb），术前有38例IgG（AsAb）阳性、27例IgG（EmAb）阳性；术后3d与术前阳性率相同，术后1月有40例IgG（AsAb）阳性、28例IgG（EmAb）阳性。3次测定的指标阳性率比较差异无统计学意义。结论介入再通术对输卵管阻塞性不孕症患者血清抗体指标的影响极小。Ohjective To investigate the effect of selective salpingograpby and fallopian tube recanalization of the anti-sperm anti bodies and other immune functions in patients withfallopian tube obstruction infertility. Methods 240 patients with fallopian tubal occlusion confirmed by salpingography underwent fallopian tube reeanalization（FTR）. Serum anti sperm antihodies IgG（AsAh） and anti-endometrial antibody lgG（EmAb） were tested three times before and after FTR,and the indicators were statistically analyzed. Results Among 415 fallopian tubes in 240 cases,315 were successfully reeanalized,with a success rate of 94.70%. The indexes of IgG（AsAb） and IgG（EmAb） were positive in 38 cases and 27 cases respectively before FTR,the results were the same three day lat-er. There were 40 cases with positive IgG（AsAb） and 28 with positive IgG（EmAb） one month after FTR. Statistically,the difference of three resuhs was not significant. Conclusion There is little effect of FTR on the serum antibody indicators in the patients with tuhal occlusion infertility.

关 键 词：输卵管 输卵管阻塞 输卵管再通术 血清抗体 

分 类 号：R711.76[医药卫生—妇产科学] R815[医药卫生—临床医学]