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目的探讨子宫输卵管造影与介入再通术治疗输卵管阻塞性不孕的临床价值。方法回顾性分析我院于2013年4月至2016年4月间收治的240例输卵管阻塞性不孕患者临床资料。结果本次研究中240例输卵管阻塞性不孕患者中221条输卵管完全梗阻,103条输卵管部分梗阻。完全梗阻造影表现:造影剂突然中断,盆腔内未见造影剂扩散,积水的输卵管内造影剂呈油滴状;部分梗阻造影表现:输卵管狭窄部管腔变大,且大小不均匀,可见粟粒状高透明度影,造影剂有少量进入盆腔。本次研究中240例输卵管阻塞性不孕患者中324条输卵管完全梗阻或部分梗阻。其中271输卵管造影插管成功,插管成功率为83.64%。263条输卵管再通成功,再通率为81.17%。结论采用子宫输卵管造影与介入再通术治疗输卵管阻塞性不孕,对患者创伤小、安全性高,可准确定位病灶,再通率高,具有较高的临床价值。
Objective To investigate the clinical value of hysterosalpingography and interventional recanalization in the treatment of tubal obstructive infertility. Methods The clinical data of 240 patients with obstructive tubal infertility who were treated in our hospital from April 2013 to April 2016 were retrospectively analyzed. Results Of the 240 patients with obstructive tubal obstruction in this study, 221 had total obstruction of the fallopian tubes and 103 had tubal obstruction. Complete obstruction Contrast performance: a sudden interruption of contrast agent, no diffuse pelvic contrast agent, water in the fallopian tube contrast agent showed oil droplets; part of the obstruction angiography: tubal stricture lumen larger, and the size is not uniform, we can see the millet Granular high transparency shadow, a small amount of contrast agent into the pelvis. In this study, 240 tubal obstruction in 240 cases of tubal obstruction infertility patients with complete obstruction or partial obstruction. Including 271 tubal catheterization success, intubation success rate was 83.64%. 263 tubal recanalization success rate of 81.17%. Conclusion Hysterosalpingography and interventional recanalization in the treatment of obstructive tubal obstruction, the trauma to patients with small, high security, accurate positioning of the lesion, high recanalization rate, with high clinical value.