经宫颈选择性输卵管造影与再通术诊疗不孕症

医学影像学杂志 2000年第1期第10卷 论著

作者：周 青　 王志学　 赵锡立

单位：475001 河南省开封医学专科学校第一附属医院

关键词：不孕症；输卵管阻塞；选择性输卵管造影；再通术

　　摘　要：目的分析应用导管经宫颈选择性输卵管造影的诊断价值；探讨输卵管阻塞再通术的机理和技术要领。材料与方法经常规碘油输卵管造影诊断为输卵管阻塞者96例，除2例外均成功地进行了选择性输卵管造影，56例确诊输卵管阻塞者施行了再通术。结果本方法造影证实31例双侧输卵管完全通畅，消除了假“阳性”，43例近端输卵管阻塞再通成功，6例中远端阻塞仅1例再通成功，再通成功率为78．6％，随访受孕率为28．6％。结论本方法诊疗输卵管阻塞及时、准确、简便、安全，再通成功率高，是输卵管不孕症者首选的一种有效、快捷诊疗方法。

Using selective salpingography and fallopian tube recanalization through cervix for the diagnosis and treatment of the unconception woman

zhou Qing,Wang Zhixue,Zhao Xili(Ist, affiliated hospital of Kai feng Medical institute, Henan province 475001)

　　Abstract：Purposes This article is aiming at analyzing the diagnostic cost of selective salpingography and the fallopian tube recanalization through the cervix by tube; To explore the mechanism of the recanalization of the fallopian tube and it's technic important point. Materials and methods 96 cases of obstruction of the falloian tube was diagnosed by routine lipidoil salpingography. The selected salpingography were successfully performed in all patients except 2 cases. 56 cases of patients with obstruetion of the fallopian tube were recanalized. Results 31 cases of patients with normal fallopian tube were discovered by the method above mentioned and the false positive was also expulsion,43 cases of patients with near end obstruction of the fallopian tube got a successfull recanalization, In 6 cases of mid distant obstruction only 1 case got recanalization. The successfull rate was 78.6%, The pregnant rate was 28.6% in the follow-up patients. Conclusion This method for diagnosis and treatment of obstruction of the fallopian tube is safe、simple and accurate. The successfull rate of recanalization is high. It's the first choise to the infertility patients.

　　Keywords：Infertility syndrome Fallopian tube obstruction Selective salpingography Recanalization参考文献：

　　［1］胡安常，田华，武乐斌．经阴道选择性输卵管再通术．中国医学影像技术，1997，3:13．

　　［2］武小文，罗丽兰．应用输卵管导向管经宫颈输卵管造影及再通术．中华妇产科杂志，1994，3:29.

收稿日期：1998-09-07

修稿日期：1999-0l-04