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目的:探讨输卵管梗阻再通术后再阻塞的原因。方法:对66例X线下放射介入输卵管再通术和宫腔镜下输卵管插管再通术后输卵管造影显示输卵管再阻塞的不孕症患者行宫、腹腔镜联合诊治的相关资料进行回顾性分析。结果:宫、腹腔镜诊疗结果显示,输卵管轻度积水6例、输卵管积脓1例、附件及盆腔肿块5例、子宫内膜异位症22例、子宫角部肌瘤2例、子宫角部息肉1例、异物反应1例、输卵管假性不通4例、原因不明14例。结论:输卵管梗阻再通术后再阻塞的主要原因是原发疾病没有彻底治愈,病情继续进展所致。
Objective: To investigate the causes of occlusion after recanalization of tubal obstruction. Methods: Retrospective analysis of 66 cases of infertility patients who underwent tubal recanalization by tubal recanalization after tubal recanalization and hysteroscopic tubal recanalization . Results: The results of the palace and laparoscopic diagnosis and treatment showed that 6 cases of tubal mild hydrocephalus, tubal empyema in 1 case, accessory and pelvic mass in 5 cases, endometriosis in 22 cases, uterine horn fibroids in 2 cases, uterine horn Department of polyps in 1 case, foreign body reaction in 1 case, tubal pseudo-unreasonable in 4 cases, unexplained 14 cases. Conclusion: The main cause of obstruction after recanalization of tubal obstruction is that the primary disease is not completely cured and the disease continues to progress.