论文部分内容阅读
目的：探讨输卵管梗阻性不孕治疗的方法。方法：选自该院１９９５年５月～１９９７年５月间，宫腔镜直视下输卵管插管疏通术治疗输卵管性不孕患者９７例，单侧或双侧输卵管梗阻或输卵管积水共计１８３条。结果：一次性治疗有５１例，９９条输卵管完全通畅，占５４％；有２７例，５０条输卵管梗阻情况改善，占２７．３２％；有３４例梗阻情况无改变，占１８．５８％。按输卵管梗阻部位分类进行疗效观察，通畅率依次为：间质部５９．５％，伞部５７．６３％，壶腹部５５．２６％，峡部４３．１８％，Ｐ＜０．０１，具有高度显著性差异。不孕年限通畅率２～４年组为６０．４０％，５～７年组为４６．３４％，０．５０＞Ｐ＞０．０１，有显著性差异，各年龄组间及原发性不孕与继发性不孕之间比较Ｐ＞０．０５，无差异性。随访半年以上３２例，１１例宫内妊娠，２例异位妊娠。结论：在宫腔镜直视下，行输卵管插管术治疗输卵管梗阻性不孕是值得推广的一种方法。对于输卵管性不孕，尤其间质部、伞部梗阻患者，无论原发性不孕或继发性不孕，无论年龄大小，争取尽早行宫腔镜直视下输卵管插管疏通术，以达到良好疗效
Objective: To explore the method of tubal obstruction infertility treatment. Methods: From May 1995 to May 1997, 97 cases of tubal infertility were treated with hysterotubasculectomy under hysteroscopy. A total of 183 unilateral or bilateral tubal obstruction or hydrosalpinx Article. Results: There were 51 cases of one-off treatment, 99 tubal tubes were completely open, accounting for 54%; 27 cases, 50 tubal obstruction improved, accounting for 27.32%; 34 cases of obstruction unchanged, accounting for 18.58%. According to the tubal obstruction classification, the patency rate was 59.5% in interstitial, 57.63% in umbrella, 55.26% in ampulla and 43.18% in isthmus, P <0.01, Significant difference. The patency rate of infertility was 60.4% in 2 ~ 4 years, 46.34% in 5-7 years, 0.50> P> 0.01, with significant difference between all age groups and primary Between infertility and secondary infertility, P> 0.05, no difference. Follow-up more than six months in 32 cases, 11 cases of intrauterine pregnancy, 2 cases of ectopic pregnancy. Conclusion: Hysteroscopy under direct vision, tubal intubation for tubal obstruction infertility is worth promoting a method. For tubal infertility, especially in interstitial, umbrella obstruction patients, regardless of primary infertility or secondary infertility, regardless of age, strive for hysteroscopic aspiration of tubal intubation as soon as possible to clear, in order to achieve good Efficacy