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[目的]评价高压注射及X线介入输卵管复通术对输卵管性不孕症患者的临床治疗效果。[方法]选取输卵管性不孕症患者92例,随机分为造影组和介入组,分别行X线子宫输卵管造影、高压注射及X线介入输卵管复通术,术后半年～1年随访患者妊娠结局。[结果]造影组、介入组的复通率差异有统计学意义(P<0.01);造影组、介入组的输卵管近端、中-远端复通率及完全复通率差异均有统计学意义(P<0.01);造影组、介入组内的输卵管近端、中-远端复通率差异则无统计学意义(P>0.05),输卵管近端梗阻者再通术后妊娠率高于中-远端,有统计学差异(P<0.01)。[结论]高压注射及X线介入输卵管复通术可以在减少创伤和费用的同时提高输卵管性不孕症患者的治疗效果。
[Objective] To evaluate the clinical effect of high-pressure injection and X-ray tubal recanalization on patients with tubal infertility. [Methods] Ninety-two patients with tubal infertility were randomly divided into radiography group and intervention group. X-ray hysterosalpingography, high-pressure injection and X-ray tubal recanalization were performed. The patients were followed up for one year to six months ending. [Results] There were significant differences in the rate of recanalization between the intervention group and the intervention group (P <0.01). There were statistically significant differences in proximal tubal proximal tubal proximal tubal mid-distal recanalization rate and complete recanalization rate (P <0.01). There was no significant difference in the proximal, middle and distal tubal recanalization rates between the angiography group and the intervention group (P> 0.05). The pregnancy rate of the tubal proximal obstruction was higher than that of the recanalization Mid-distal, there was a significant difference (P <0.01). [Conclusion] Hypertension and X-ray interventional tubal recanalization can improve the curative effect of patients with tubal infertility while reducing trauma and cost.