用介入疗法行输卵管再通术临床应用(附80例报告)  

Clinical Application of Salpingian Recanalization by Interventional Procedure (A Report of 80 Cases)

作　　者：宋荣坡[1] 韩泽修[1] 刘亚民[2] 

机构地区：[1]洛阳轴承集团有限公司总医院放射科,河南洛阳471039 [2]西安交通大学第一医院数字减影室

出　　处：《实用放射学杂志》2003年第10期931-933,共3页Journal of Practical Radiology

摘　　要：目的　评价用介入法行输卵管再通术的临床应用价值。方法　经子宫输卵管造影筛选出 80例 2 3～ 3 5岁女性不孕症患者 ,确诊为两侧或单侧输卵管的狭窄、粘连或闭塞 ,运用介入放射学原理 ,采用同轴导管系统 ,利用微导丝的物理机械作用和再通液的消炎、抗粘连等作用 ,疏通和治疗输卵管的狭窄、阻塞或粘连病变。结果　本组 80例 113支输卵管有狭窄、粘连或闭塞 ,施术后87支输卵管获得再通 ,再通成功率 84.5% ,其中间质部病变的输卵管再通成功率达 94.8% ,术后 1年随访怀孕 2 5例 ,达 3 1.9%。结论　介入法行输卵管再通术是治疗因输卵管狭窄、粘连或闭塞引起的继发性不孕的有效方法。Objective To asses the clinical applied value for the salpingian recanalization by means of interventional procedure.Methods 80 cases ranged in age from 23～35 with sterility diagnosed by uterosalpingography were included in this study.They had bilateral and unilateral salpingian narrow,adhesion or stenosis.According to the interventional radiologic theory,using same-axis catheter system,and recanalization fluid the narrow,stenosis and adhesion of salpingian were treated.Results There were 113 salpingians suffered with narrow,adhesion and stenosis in 80 cases.Of them,87 salpingians were recanalized.The successful rate was 84.5%,among them the recanalization rate was 94.8% in the patients with interstitial lesion and 25 cases had been pregnancy (approximate 31.9%) after operation. Conclusion The recanalization of salpingian by interventional radiology in the treatment of sterility caused by salpingian stenosis,narrow and adhesion is an effective means.The pregnancy rate is relevant to the selection of indication.

关 键 词：介入疗法 输卵管再通术 临床应用 不孕症 适应证 子宫输卵管造影 

分 类 号：R711.6[医药卫生—妇产科学] R815[医药卫生—临床医学]