论文部分内容阅读
目的：研究选择性输卵管插管造影及再通治疗的临床价值，验证自制同轴导管的可能性，并与国外器械运用情况进行比较。材料与方法：对１００对输卵管阻塞引起的不孕症患者在透视导向下，用自制同轴导管选择性输卵管造影及再通治疗，并用庆大霉素、生理盐水维持通液治疗３个月，追踪复查１～２年。结果：选择性插管成功率９０％，近端输卵管再通成功率６９％，中远端再通成功率９．５％；选择性输卵管造影效果良好，１２支插管失败的输卵管中有３支造成内膜损伤，但未发生严重后果，随访中至少１１例怀孕。结论：选择性输卵管造影对病变的诊断效果高于传统子宫碘油造影，用自制同轴导管行再通治疗方法简便易行，安全可靠，器械成本低廉，易操作。此方法可取代传统方法。
Objective: To study the clinical value of selective tubal catheterization and recanalization treatment, to verify the possibility of self-made coaxial catheter and to compare with the use of foreign instruments. Materials and Methods: 100 pairs of tubal obstruction caused by infertility patients under fluoroscopic guidance, with selective coaxial catheter selective salvage and recanalization treatment, and with gentamicin, saline to maintain fluid for 3 months, Follow-up review 1 to 2 years. Results: The successful rate of selective intubation was 90%, the success rate of proximal tubal recanalization was 69%, and the success rate of mid-distal recanalization was 9.5%. The selective salpingography was effective and 12 failed tubal tubes had 3 Branch caused by endometrial injury, but no serious consequences, at least 11 cases were followed up during pregnancy. Conclusion: The selective salpingography has a higher diagnostic value than conventional uterine lipiodography. The self-made coaxial catheter is a safe, reliable and safe device with low cost and easy operation. This method can replace the traditional method.