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目的 探讨选择性输卵管造影与再通术在诊治输卵管近端梗阻方面的安全性和有效性。方法 １０３ 例输卵管近端梗阻患者，用自制的导管施行选择性输卵管造影，若输卵管近端仍梗阻，则行输卵管再通术。结果 １３５ 条输卵管中有５１ 条仅施行选择性输卵管造影即获得再通，剩下８４ 条输卵管施行输卵管再通术后６４ 条获再通，有效率达８５ ．２ ％ 。随访３０ 例，输卵管再通术后有８ 例宫内妊娠和１例宫外孕，选择性输卵管造影术后有５ 例宫内妊娠。结论 输卵管近端梗阻，应考虑施行选择性输卵管造影或输卵管再通术，两种方法对诊治输卵管近端梗阻是安全而有效的。
Objective To investigate the safety and efficacy of selective salpingography and recanalization in the diagnosis and treatment of tubal proximal obstruction. Methods A total of 103 patients with proximal tubal obstruction were treated with a selective catheterized catheterization. If the proximal tubal obstruction was still obstructive, tubal recanalization was performed. Results Of the 135 tubal tubes, only 51 of the 135 tubal tubes were selectively salvaged. The remaining 84 tubal tubes were recanalized after tubal recanalization and the effective rate was 85. 2%. Follow-up of 30 cases, 8 cases of intrauterine pregnancy and 1 case of ectopic pregnancy after tubal recanalization, 5 cases of intrauterine pregnancy after selective salpingography. Conclusion tubal proximal obstruction, should consider the implementation of selective salpingography or tubal recanalization, two methods of diagnosis and treatment of tubal proximal obstruction is safe and effective.