高压注射及介入治疗在输卵管性不孕症中的应用观察  

High-pressure injection and interventional treatment applied in tubal infertile patient

作　　者：杨继红[1,2] 吴晓慧[1,2] 徐嵩森[1,2] 刁晓娣[1,2] 

机构地区：[1]上海市普陀区中心医院妇产科 [2]上海中医药大学附属普陀医院妇产科,上海200062

出　　处：《上海预防医学》2012年第8期468-470,共3页Shanghai Journal of Preventive Medicine

基　　金：上海市重点科学建设项目资助(编号:30303)

摘　　要：[目的]评价高压注射及X线介入输卵管复通术对输卵管性不孕症患者的临床治疗效果。[方法]选取输卵管性不孕症患者92例,随机分为造影组和介入组,分别行X线子宫输卵管造影、高压注射及X线介入输卵管复通术,术后半年～1年随访患者妊娠结局。[结果]造影组、介入组的复通率差异有统计学意义(P<0.01);造影组、介入组的输卵管近端、中-远端复通率及完全复通率差异均有统计学意义(P<0.01);造影组、介入组内的输卵管近端、中-远端复通率差异则无统计学意义(P>0.05),输卵管近端梗阻者再通术后妊娠率高于中-远端,有统计学差异(P<0.01)。[结论]高压注射及X线介入输卵管复通术可以在减少创伤和费用的同时提高输卵管性不孕症患者的治疗效果。[ Objective ] To evaluate clinical effect of high -pressure injection and fallopian tube recanalization on patients with tubal infertility. [ Methods ] A group of 92 tubal infertile patients were divided into two groups of HSG and interventional treatment ： Hysterosalpingography （ HSG ）, high-pressure injection and fallopian tube recanahzation were performed respectively. The pregnancy outcomes had been obtained six months to a year post-operatively. [ Results] The difference of recanalization rates between the two groups of HSG and Interventional Treatment was remarkable （P 〈 0. Ol ）. There were also statistical differences in the recanalization rates of proximate fallopian tube and the other part between HSG and Inter- ventional Treatment （ P 〈 0. O1 ）. There were no significantly statistical differences between proximate fallo- pian tube and the other part of the two groups （ P 〉 0.05 }. The pregnancy outcome of proximate fallopian tube was higher than those of the other part after fallopian tube recanalization （ P 〈 0.01 ）. [ Conclusion ] Application of high-pressure injection and fallopian tube recanalization can increase the clinical treatment effect on tubal infertile patient, reduce the trauma and decrease the costs of treatment at the same time.

关 键 词：不孕症 输卵管阻塞 高压注射 X线介入输卵管复通术 

分 类 号：R713[医药卫生—妇产科学]