介入栓塞术治疗输卵管积水的疗效分析  

Efficacy of Interventional Embolization in the Treatment of Hydrosalpinx

作　　者：刘嵘[1] 钱朝霞[1] 宋富珍[1] 徐文英[1] 

机构地区：[1]上海交通大学医学院附属国际和平妇幼保健院放射科,上海200030

出　　处：《中国临床医学》2014年第2期202-205,共4页Chinese Journal of Clinical Medicine

基　　金：上海市市级医院适宜技术项目(编号:SHDC12012219)

摘　　要：目的:探讨输卵管积水的影像学表现及介入栓塞术治疗输卵管积水的效果。方法:选择2009年11月—2013年6月行输卵管介入栓塞术的396例输卵管积水患者,其中单侧输卵管积水250例,双侧输卵管积水146例,共计542条积水输卵管。根据积水输卵管形态分为轻型组(n=496)和重型组(n=46)。应用微导管将铂金微弹簧圈送至输卵管间质部及峡部,对积水的输卵管进行栓塞,比较2组的栓塞效果。结果:轻型组总有效率为100%,重型组总有效率为97.8%。结论:输卵管介入栓塞术作为体外受精-胚胎移植前输卵管积水预处理的较好方法,总成功率高、患者痛苦小、无麻醉风险;手术难度与输卵管形态有关,在术者的手术操作能力较强的情况下值得推广。Objective ： To investigate the imaging findings of hydrosalpinx and the therapeutic effects of interventional embolization on hydrosalpinx. Methods： A total of 396 patients with hydrosalpinx were treated with interventional embolization from Nov 2009 to Jun 2013. There were 250 patients with unilateral hydrosalpinx and 146 patients with bilateral hydrosalpinx. The 542 diseased fallopian tubes were divided into mild group （n = 496） and severe group（n = 46） according to the shapes of fallopian tubes. Micro catheter was used to send the micro spring coil to interstitial tube and isthmus, and the diseased fallopian tubes were embolized. The surgical difficulty and therapeutic effects were compared between the two groups. Results： The total effective rate of the mild group was 100% and that of the severe group was 97.8%. Conclusions： Using interventional embolization as a kind of hydrosalpinx pretreatment methods before in vivo fertilization and embryo transfer（IVF-ET）, the overall success rate is high, and patients have less pain, without anesthesia risks. Surgical difficulty has certain correlation with the shapes of fallopian tubes, and interventional embolization is worth promoting in the case of improving the operation ability of performers.

关 键 词：输卵管积水 体外受精-胚胎移植 栓塞治疗 

分 类 号：R711.76[医药卫生—妇产科学]