介入封堵治疗输卵管积水的疗效分析  

Efficacy analysis of interventional occlusion for hydrosalpinx

作　　者：杜鹏[1] 倪才方[1] 邹建伟[1] 李智[1] 

机构地区：[1]苏州大学附属第一医院介入科,江苏苏州215006

出　　处：《中国介入影像与治疗学》2016年第3期138-141,共4页Chinese Journal of Interventional Imaging and Therapy

摘　　要：目的评价输卵管积水封堵治疗的效果及其对体外受精-胚胎移植(IVF-ET)结局的影响。方法对45例输卵管积水患者在透视下行输卵管选择性插管,将微弹簧圈通过微导管送入输卵管近端,封堵患侧输卵管。封堵后所有患者接受IVF-ET,随访至分娩。结果共封堵积水输卵管63条,手术成功率为96.83%(61/63),封堵后有效率为93.44%(57/61),平均每条输卵管使用的弹簧圈数目为1.11枚。封堵有效的患者中临床妊娠率为41.46%(17/41),足月产妊娠率为70.59%(12/17),自然流产率为17.65%(3/17),输卵管妊娠率为11.76%(2/17)。所有患者均未出现严重并发症。结论介入封堵术是较为安全、有效的输卵管积水预处理方法,能够改善患者的IVF-ET结局。Objective To evaluate the efficacy of interventional occlusion for hydrosalpinx,and its effect on the outcome of in vitro fertilization and embryo transfer（IVF-ET）.Methods Totally 45 patients with hydrosalpinx were treated with selective catheterization under fluoroscopy.Microcatheter was used to send the micro coil to the proximal tubal,until occlusion of the fallopian tubes.All patients received IVF-ET after successful occlusion,with follow-up until childbirth.Results A total of 63 fallopian tubes were treated.The success rate of the operation was 96.83%（61/63）,the effective rate was93.44%（57/61）,and the average number of springs used in each fallopian tube was 1.11.The clinical pregnancy rate following IVF-ET was 41.46%（17/41）,full-term pregnancy rate was 70.59%（12/17）,spontaneous abortion rate was17.65%（3/17）,and the tubal pregnancy rate was 11.76%（2/17）.No severe complications were observed.ConclusionInterventional occlusion is a relatively safe and effective pretreatment method for hydrosalpinx,which can improve the outcome of IVF-ET.

关 键 词：输卵管积水 封堵 体外受精-胚胎移植 介入治疗 

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