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目的 评价选择性输卵管造影及再通术的临床价值、疗效及不良反应。方法 应用自制同轴导管系统 ,在透视下对15 0例因输卵管阻塞引起的不孕症患者 ,行选择性输卵管造影及再通治疗 ,术后用庆大霉素等溶于生理盐水维持通液治疗 3个月经周期。结果 选择性插管成功率 96 4% ,近端输卵管再通成功率 80 % ,峡部至壶腹部成功率 5 5 % ,壶腹部至伞端成功率 14%。未获再通者明确了诊断。随访中有 75例受孕 ,受孕率达 5 0 % ,无严重并发症发生。结论 用自制器械行选择性输卵管造影对病变的诊断率高于传统子宫碘油造影 ,对阻塞的输卵管直接行介入治疗 ,且有令人满意的疗效 ,不良反应轻。
Objective To evaluate the clinical value, curative effect and adverse reactions of selective salpingography and recanalization. Methods Self-made coaxial catheter system, under the perspective of 150 cases of tubal obstruction caused by infertility patients with selective salpingography and recanalization treatment, postoperative gentamicin and other dissolved in saline to maintain fluid Treatment of 3 menstrual cycles. Results The success rate of selective intubation was 96 4%, success rate of proximal tubal recanalization was 80%, success rate of isthmus to ampulla was 55%, and success rate of ampulla to ulnar end was 14%. No recanalization of a clear diagnosis. During follow-up, 75 cases were conceived and the pregnancy rate was 50%. No serious complications occurred. Conclusions The diagnostic rate of selective tubal angiography with self-made devices is higher than that of traditional uterine lipiodol, interventional treatment of obstructive tubal directly with satisfactory curative effect and light adverse reactions.