医学信息
醫學信息
의학신식
MEDICAL INFORMATION
2014年
23期
154-154
,共1页
输卵管阻塞介入再通术%阻塞性不孕症%治疗效果
輸卵管阻塞介入再通術%阻塞性不孕癥%治療效果
수란관조새개입재통술%조새성불잉증%치료효과
Fallopian tube obstruction interventional recanalization%Obstructive infertility%Therapeutic effect
目的：对我院48例阻塞性不孕患者实施输卵管阻塞介入再通术，报道其治疗效果。方法妇科2011年3月~2012年3月输卵管阻塞性不孕症病例48例于月经干净后2~6 d给予输卵管阻塞介入再通术治疗，观察治疗效果及患者受孕情况。结果48例患者插管成功47例，成功率97.9%。输卵管再通术成功38例，成功率79.2%，包括完全阻塞8例，不完全阻塞30例。38例再通成功病例随访2年受孕率68.4%，异位妊娠率5.3%，其中不完全阻塞患者再通后受孕率66.7%显著高于完全阻塞患者25%(<0.05)，两类患者的异位妊娠率比较无统计学差异(>0.05)。结论输卵管阻塞介入再通术治疗阻塞性不孕具有较高的介入成功率和再通成功率，患者术后受孕率较高，其中不完全阻塞患者的术后受孕率更高。
目的：對我院48例阻塞性不孕患者實施輸卵管阻塞介入再通術，報道其治療效果。方法婦科2011年3月~2012年3月輸卵管阻塞性不孕癥病例48例于月經榦淨後2~6 d給予輸卵管阻塞介入再通術治療，觀察治療效果及患者受孕情況。結果48例患者插管成功47例，成功率97.9%。輸卵管再通術成功38例，成功率79.2%，包括完全阻塞8例，不完全阻塞30例。38例再通成功病例隨訪2年受孕率68.4%，異位妊娠率5.3%，其中不完全阻塞患者再通後受孕率66.7%顯著高于完全阻塞患者25%(<0.05)，兩類患者的異位妊娠率比較無統計學差異(>0.05)。結論輸卵管阻塞介入再通術治療阻塞性不孕具有較高的介入成功率和再通成功率，患者術後受孕率較高，其中不完全阻塞患者的術後受孕率更高。
목적：대아원48례조새성불잉환자실시수란관조새개입재통술，보도기치료효과。방법부과2011년3월~2012년3월수란관조새성불잉증병례48례우월경간정후2~6 d급여수란관조새개입재통술치료，관찰치료효과급환자수잉정황。결과48례환자삽관성공47례，성공솔97.9%。수란관재통술성공38례，성공솔79.2%，포괄완전조새8례，불완전조새30례。38례재통성공병례수방2년수잉솔68.4%，이위임신솔5.3%，기중불완전조새환자재통후수잉솔66.7%현저고우완전조새환자25%(<0.05)，량류환자적이위임신솔비교무통계학차이(>0.05)。결론수란관조새개입재통술치료조새성불잉구유교고적개입성공솔화재통성공솔，환자술후수잉솔교고，기중불완전조새환자적술후수잉솔경고。
Objective To a total of 48 patients with obstructive infertility fal opian tube obstruction interventional recanalization, reported its therapeutic ef ect. Methods gynecological between March 2011 to March 2011 fal opian tube obstructive infertility cases in 48 cases of menstrual clean 2~6 d give tubal obstruction after interventional recanalization treatment, patients to observe the treatment effect and fertility condition. Results 48 cases intubation 47 cases of success, success rate of 97.9%. 38 cases fallopian tube recanalization success, success rate 79.2%, including block 8 cases, completely not completely block the 30 cases. 38 cases of successful recanalization rate of 68.4% cases were followed up for 2 years, ectopic pregnancy rate was 5.3%, which is not completely blocked after recanalization rate of 66.7% is significantly higher than in patients with complete obstruction in patients with 25% ( <0.05), two types of ectopic pregnancy rate in patients with no statistical dif erence ( >0.05). Conclusion Fal opian tube obstruction interventional recanalization treatment for obstructive infertility has high success rate of intervention and success rate of recanalization, patients with postoperative conception rate is higher, the incomplete obstruction in patients with postoperative conception rate is higher.
