透视导向下输卵管阻塞性不孕的介入治疗

Interventional therapy with fluoroscopic guidance for treatment of infertility due to fallopian tubes obstruction

摘要: 目的: 探讨透视导向下输卵管阻塞性不孕介入治疗的方法及疗效。方法: 在数字减影X光机下,采用COO K公司生产的子宫导管经子宫颈行输卵管阻塞介入治疗,术后给予口服药物以维持疗效。结果: 36例输卵管阻塞接受介入治疗后,32例(88.9%)获得成功,治疗后怀孕11例(30.6%)。结论: 透视导向下输卵管阻塞介入治疗技术疗效确切,配合药物治疗效果满意,为输卵管阻塞所致不孕探索了新的综合治疗方法。

Abstract: Objective: To explore the effect of interventional therapy with fluoroscopic guidance in treatment of infertility caused by fallopian tubes obstruction.Methods: Thirty-six patients with fallopian tubes obstruction received transcervical fallopian tube recanalization (T-FTR) with fluoroscopic guidance under the DSA.The uterine catheter devised by COOK was used during the interventional procedure.The recanalized patients were given drugs to keep effect.Results: The fallopian tubes of 32(88.9%) of all the 36 patients were successfully opened by T-FTR and 11(30.6%) patients conceived.Conclusions: Interventional therapy with fluoroscopic guidance combining drug treatment is effective for infertility caused by tubes obstruction,and is a new multi-approach to the disease.