CAJ | 학술논문

目的探讨介入治疗输卵管阻塞性不孕的临床疗效.方法对636例经子宫输卵管造影诊断为输卵管阻塞性不孕患者在X线监视下行输卵管介入再通术.结果 636例患者中984条输卵管完全阻塞,其中804条(81.7%)复通成功;不完全阻塞输卵管252条,252条(100%)复通成功.该组病例中复通总成功率88.3%,术后1年内再闭塞率为6.8%,180例(28.3%)患者发生宫内妊娠,4例患者发生异位妊娠.结论介入治疗输卵管阻塞性不孕具有诊断和治疗双重作用,操作简单,安全,疗效好,值得临床推广.
목적 탐토개입치료수란관조새성불잉적림상료효.방법 대636례경자궁수란관조영진단위수란관조새성불잉환자재X선감시하행수란관개입재통술.결과 636례환자중984조수란관완전조새,기중804조(81.7%)복통성공;불완전조새수란관252조,252조(100%)복통성공.해조병례중복통총성공솔88.3%,술후1년내재폐새솔위6.8%,180례(28.3%)환자발생궁내임신,4례환자발생이위임신.결론 개입치료수란관조새성불잉구유진단화치료쌍중작용,조작간단,안전,료효호,치득림상추엄.
Objective To explore the clinical efficacy of the interventional recanalization for infertile women with fallopian tube obstruction. Methods 636 infertile patients with fallopian tube obstruction diagnosed by hystero-salpin-gngraphy were treated with interventional tubal recanalizafion under X-ray. Results Among 636 patients with 984 complete fallopian tubes obstruction,there were 804 recanalization in tile 984 fallopian tubes and the successful rate of recanalization was 81.71%. Among 252 fallopian tubes with not complete obstruction ,there were 252 recanali-zation in the 252 fallopian tubes and the successful rate of recanalization was 100%. The all successful rate of reca-nalization was 88.3%. These patients pregnancy rate was 28.30% in one year and the second fallopian tube obstruc-tion rate was 6.79%. There was 4 ectopic pregnancy. Conclusions Interventional tubal recanalization has important application in the diagnosis and treatment for infertile women with fallopian tube obstruction, h has merit, such as simple, safe and good effect.