宫腹腔镜输卵管宫角植入术治疗输卵管近端实性梗阻  

Hysteroscopic tubouterine implantation for the treatment of proximal tubal obstruction

作　　者：陈颖[1] 汪星星[1] 

机构地区：[1]广州医学院荔湾医院妇科,广东广州510170

出　　处：《广州医学院学报》2012年第3期40-42,共3页Academic Journal of Guangzhou Medical College

摘　　要：目的:探讨宫腹腔镜联合行输卵管宫角植入术对输卵管通畅率及术后妊娠率的临床意义。方法:收集2008年1月至2010年8月本院收治的28例输卵管近端阻塞的不孕患者的临床资料,患者行宫腹腔镜联合下36侧输卵管宫角植入术,术后恢复月经后取出支架行宫腔镜下输卵管通液术,再于术后3～6月后行再次宫腔镜下输卵管通液术,评价输卵管通畅度。结果:术后第1次宫腔镜下输卵管插管通液术均显示输卵管通畅,通畅率达100%,术后3～6月再次行宫腔镜输卵管通液术,31侧完全通畅,5侧通而不畅,完全通畅率86.1%。术后随访2年,宫内妊娠20例、异位妊娠1例、未孕7例,妊娠率为71.4%。结论:宫腹腔镜下输卵管宫角植入术对输卵管近端梗阻是一种微创、安全、有效的治疗措施。Objective：To determine the clinical impact of hysteroscopy in combination with tubal cornual implantation on fallopian patency and post-operative pregnancy rate. Methods： We enrolled 28 patients with proximal tubal obstruction-induced infertility from the department of obstetrics and gynecology between January 2008 and August 2010 for hysteroscopic cornual implantation in 36 fallopian tubes, The stents were removed postoperatively after menstruation period followed by further hydrotubulation and subsequent hysteroscopic hydrotubulation 3 to 6 months postoperatively for assessment of tubal patency. Results： A fallopian patency of 100% was shown by the initial hysteroscopic tubal cannulation. Repetitive bysteroscopic tubal cannulation at months 3 and 6 postoperatively identified 31 cases with unobstructed fallopian tubes and 5 with clear but blocked fallopian tubes. This was associated with a total pateney rate of 86.1%. At year 2 postoperatively, 20 cases with intrauterine pregnancy, 1 with ectopic pregnancy and 7 with infertility were identified. A pregnancy rate of 71.4% was reported. Conclusion： Laparoscopic tubal cornual implantation is a minimally invasive, safe and effective measure for the treatment of proximal tubal obstruction.

关 键 词：输卵管宫角植入 腹腔镜 宫腔镜 输卵管梗阻 

分 类 号：R713.7[医药卫生—妇产科学]