中国计划生育和妇产科
中國計劃生育和婦產科
중국계화생육화부산과
CHINESE JOURNAL OF FAMILY PLANNING & GYNECOTOKOLOGY
2015年
6期
22-25
,共4页
输卵管阻塞%子宫输卵管造影术%按摩%输卵管再通
輸卵管阻塞%子宮輸卵管造影術%按摩%輸卵管再通
수란관조새%자궁수란관조영술%안마%수란관재통
fallopian obstruction%hysterosalpingography%massage%fallopian tube recanalization
目的：探讨加压按摩在子宫输卵管造影（ hysterosalpingography，HSG）治疗输卵管梗阻中的应用价值。方法选取2011年6月至2013年12月深圳市南山区妇幼保健院收治的212例输卵管梗阻患者临床资料，根据不同治疗方法分为观察组和对照组，观察组（104例）在HSG中采用加压按摩法治疗，对照组（108例）采用持续注射造影剂治疗，比较两组输卵管再通率。结果治疗后观察组输卵管梗阻再通率56.7％（76／134）及输卵管间质部梗阻再通率79.3％（69／87）均显著高于对照组[45.5％（65／143）、58.4％（52／89）]（P＜0．05）；两组输卵管峡部、壶腹部与伞部梗阻再通率比较差异无统计学意义（P＞0．05）；观察组输卵管间质部梗阻的再通率高于峡部、壶腹部与伞部梗阻（ P＜0.05）。结论加压按摩法联合子宫输卵管造影可提高梗阻输卵管的再通率，且安全性好。
目的：探討加壓按摩在子宮輸卵管造影（ hysterosalpingography，HSG）治療輸卵管梗阻中的應用價值。方法選取2011年6月至2013年12月深圳市南山區婦幼保健院收治的212例輸卵管梗阻患者臨床資料，根據不同治療方法分為觀察組和對照組，觀察組（104例）在HSG中採用加壓按摩法治療，對照組（108例）採用持續註射造影劑治療，比較兩組輸卵管再通率。結果治療後觀察組輸卵管梗阻再通率56.7％（76／134）及輸卵管間質部梗阻再通率79.3％（69／87）均顯著高于對照組[45.5％（65／143）、58.4％（52／89）]（P＜0．05）；兩組輸卵管峽部、壺腹部與傘部梗阻再通率比較差異無統計學意義（P＞0．05）；觀察組輸卵管間質部梗阻的再通率高于峽部、壺腹部與傘部梗阻（ P＜0.05）。結論加壓按摩法聯閤子宮輸卵管造影可提高梗阻輸卵管的再通率，且安全性好。
목적：탐토가압안마재자궁수란관조영（ hysterosalpingography，HSG）치료수란관경조중적응용개치。방법선취2011년6월지2013년12월심수시남산구부유보건원수치적212례수란관경조환자림상자료，근거불동치료방법분위관찰조화대조조，관찰조（104례）재HSG중채용가압안마법치료，대조조（108례）채용지속주사조영제치료，비교량조수란관재통솔。결과치료후관찰조수란관경조재통솔56.7％（76／134）급수란관간질부경조재통솔79.3％（69／87）균현저고우대조조[45.5％（65／143）、58.4％（52／89）]（P＜0．05）；량조수란관협부、호복부여산부경조재통솔비교차이무통계학의의（P＞0．05）；관찰조수란관간질부경조적재통솔고우협부、호복부여산부경조（ P＜0.05）。결론가압안마법연합자궁수란관조영가제고경조수란관적재통솔，차안전성호。
Objective To investigate the application value of oppression and massage in hysterosalpingography ( HSG ) for recanalization of oviduct obstruction.Methods Clinical data of 240 patients with tubal obstruction in Nanshan District Women and Children Health Care Hospital from Jun 2011 to Dec 2013 were selected, all cases were divided into 2 groups according to different treatment, the patients in observation group ( n=104) were treated with HSG combined with oppression and massage, the patients in control group (n=108) were treated with continuous injection of contrast agent, the recanalization rate of fallopian tube of the two groups were compared.Results The recanalization rate of fallopian tube obstruction[56.7% (76/134)], the recanalization rate of the obstruction of fallopian tube mesenchyme of the observation group[79.3%(69/87)] were higher than those of the control group [45.5%(65/143), 58.4%(52/89)](P<0.05).There were no statistically significant differences in the recanalization rate of the obstruction of isthmus, ampullar region and fimbria of fallopian tube ( P>0.05);The recanalization rate of interstitial tubal obstruction of the observation group was higher than that of the tubal isthmus, ampulla and fimbria (P<0.05).Conclusion HSG combined with oppression and massage can improve the recanalization rate of oviduct obstruction with the advantage of security.
