CAJ | 학술논문

目的比较输卵管介入再通术与输卵管通液术治疗输卵管通而不畅的疗效。方法回顾性分析2005年1月至2010年12月在该院介入科经子宫输卵管碘油造影诊断为双侧输卵管通而不畅，且排除其他非输卵管因素的不孕患者共464例，其中输卵管介入再通组157例、输卵管通液组155例和对照组152例。结果输卵管介入再通组宫内妊娠率高于输卵管通液组及对照组，异位妊娠率低于输卵管通液组及对照组，输卵管通液组宫内妊娠率高于对照组，以上各组间差异均有统计学意义（P＜0．05）。而输卵管通液组与对照组间异位妊娠发生率差异无统计学意义（P＞0．05）。结论积极医疗干预可使输卵管通而不畅的患者临床获益，且输卵管介入再通术疗效优于输卵管通液术。
목적비교수란관개입재통술여수란관통액술치료수란관통이불창적료효。방법회고성분석2005년1월지2010년12월재해원개입과경자궁수란관전유조영진단위쌍측수란관통이불창，차배제기타비수란관인소적불잉환자공464례，기중수란관개입재통조157례、수란관통액조155례화대조조152례。결과수란관개입재통조궁내임신솔고우수란관통액조급대조조，이위임신솔저우수란관통액조급대조조，수란관통액조궁내임신솔고우대조조，이상각조간차이균유통계학의의（P＜0．05）。이수란관통액조여대조조간이위임신발생솔차이무통계학의의（P＞0．05）。결론적겁의료간예가사수란관통이불창적환자림상획익，차수란관개입재통술료효우우수란관통액술。
Objective To compare the effects of fallopian tube recanalization and hydrotubation for treating partially obstructed fallopian tubes .Methods A retrospective analysis was conducted in 464 patients with partially obstructed bilateral fallopian tubes diagnosed by hysterosalpinography ,excluding other non -tubal infertility patients ,in the intervention department of our hospital Hospital from Jan .2005 to Dec .2010 .The patients were divided into 3 groups:fallopian tube recanalization group (157 cases) , hydrotubation group (155 cases) and control group(152 cases) .Results The intrauterine pregnancy rate of the fallopian tube reca-nalization group was higher than that of the hydrotubation group and control group .The ectopic pregnancy rate of the fallopian tube recanalization group was lower than that of the hydrotubation group and control group .The intrauterine pregnancy rate of the hydrotubation group was higher than that of the control group ,there was statistical difference between the two groups (P<0 .05) . While there was no statistical difference in the ectopic pregnancy rate between the hydrotubation group and the control group (P>0 .05) .Conclusion Active medical intervention can make the clinical benefit in the patients with partially obstructed fallopian tubes ,moreover ,fallopian tube recanalization is better than hydrotubation in the curative effect .