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采用选择性输卵管造影与再通术对 48例输卵管阻塞性不孕症进行治疗 ,分析其治疗效果 ,探讨其在诊治输卵管阻塞性不孕症中的临床价值 ,以及提高通管率及受孕率的再通方法。结果 :85条输卵管中有 74条疏通 ,再通率 87% ,其中继发性不孕症再通率为 90 .7% ,原发性不孕症再通率为 80 .6%。间质部与峡部阻塞复通成功率为 93.4% ,壶腹部阻塞复通成功率为 77.7%。漏斗及伞部阻塞复通成功率为 5 0 %。术后随访 6～ 1 2月 ,受孕率 35 .5 %。未发生严重并发症。提示 :选择性输卵管造影与再通术诊治输卵管阻塞性不孕症是一种安全、有效、简便的方法 ,是诊治输卵管阻塞性不孕症的首选方法。
Forty-eight patients with tubal obstruction infertility were treated with selective salpingography and recanalization, and their clinical effects were analyzed, and their clinical value in diagnosis and treatment of tubal obstruction infertility was discussed. Recanalization method. Results: Of the 85 tubal tubes, 74 were unblocked and the recanalization rate was 87%. The recanalization rate of secondary infertility was 90.7%. The primary infertility recanalization rate was 80.6%. The success rate of interstitial and isthmic obstruction was 93.4%, and the success rate of ampulla obstruction was 77.7%. Funnel and umbrella blocked the success rate of 50%. Follow-up 6 ~ 12 months after surgery, pregnancy rate 35.5%. No serious complications occurred. Tip: Selective fallopian tube angiography and recanalization Diagnosis and treatment of tubal obstruction infertility is a safe, effective and easy method, is the preferred method of diagnosis and treatment of tubal obstruction infertility.