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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。怀孕率与适应证的选择有关
Objective To evaluate the clinical value of interventional tubal recanalization. Methods 80 cases of infertility women aged from 23 to 35 years were screened by hysterosalpingography and confirmed as stenosis, adhesion or occlusion of bilateral or unilateral fallopian tubes. Using the principle of interventional radiology and using coaxial catheter system, The physical and mechanical role of the guide wire and re-fluid through the anti-inflammatory, anti-adhesion and other effects, to clear and treat tubal stricture, obstruction or adhesion lesions. Results In this group of 80 cases of 113 tubal stenosis, adhesions or occlusion, after the operation of 87 fallopian tubes recanalized, and then the success rate of 84.5%, of which interstitial tubal recanalization success rate of 94.8% after 1 25 cases of pregnancy were followed up, reaching 3 1.9%. Conclusion Interventional tubal recanalization is an effective method for the treatment of secondary infertility caused by tubal stenosis, adhesions or occlusion. The pregnancy rate and the choice of indications