目的:探讨X线引导下对不孕症患者进行子宫输卵管造影检查和介入再通治疗的有效性和安全性.方法:回顾我院从2015年4月至2021年4月期间对125例经子宫输卵管造影证实输卵管梗阻患者,针对介入再通术后复查的结果进行介入治疗的有效性和安全性分析.结果:对于加入透明质酸钠降低堵塞部位再次粘连机率是否能增加怀孕率问题,设计两组治疗方案,因此依照治疗方法不同分为A、B两组,A组65例患者行经选择性输卵管再通术,术后常规用地塞米松、庆大、糜蛋白酶,实现再通54例,部分再通或未通11例,术后一年,正常妊娠31例,宫外孕“,”Objective:To study the Χ-ray guidance on infertility patients the efficacy and safety of interventional examination and therapy.Methods:in our hospital from 2015 April to 2021 April,during the period ofthe outpatient department of 125 cases of uterus and fallopian tubeobstruction fallopian tube infertility patients with angiographically proven,according to the results of the review after interventional recanalization,analyze the effectiveness and safety of interventional examination andtherapy..methods:For adding sodium hyaluronate reduced blocked parts re adhesionprobability can increase pregnancy rate, designed for A,B two groups,A group of 65 patients after selective fallopian tube recanalization,routine postoperative treatment with dexamethasone, gentamycin,chymotrypsin,achieve recanalization in 54 cases,partial recanalization or not in 11 cases,one year after operation,31 cases of normal pregnancy, 2 cases of ectopic pregnancy,not pregnancy in 32 cases.A review of 12 cases after six monthsagain obstruction,obstruction,accounted for 18.5％.B group of 60 patientsin the A group on the basis of routine therapy plus sodium hyaluronate,achieve recanalization in 51 cases,9 cases of partial recanalization or not,one year after operation,36 cases of normal pregnancy,1 cases of ectopic pregnancy,not pregnancy in 23 cases.A review of 8 cases after six monthsagain obstruction obstruction,accounted for 13.3％.Conclusion:selective salpingography underwent interventional recanalizationis the treatment of fallopian tube obstruction due to the effective way of infertility,it is safe,quick,recanalization rate high characteristic,combined with sodium hyaluronate can significantly reduce the rate of fallopian tubeadhesion.