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目的 :采用手术配合加压通液治疗慢性输卵管炎性梗阻所致的不孕症 ,从而提高输卵管复通率 ,复孕率。方法 :根据其阻塞部位不同 ,采取不同术式进行手术治疗 ,术后配合应用输卵管加压通液术。并对其不同阻塞部位 ,术后所剩输卵管长度、不同年龄组术后妊娠情况及术后妊娠时间进行比较分析。结果 :随访 89例 ,双侧通畅者 71例 ,单侧通畅者 11例 ,按输卵管条数计算 ,复通率为 85 95 % ;46例宫内妊娠足月分娩 ,2例自然流产 ,复孕率为 5 3 93% ,异位妊娠 2例 ;术后妊娠、足月分娩率为 5 6 18% ;中段阻塞较远、近两端阻塞者成功率高 ;术后输卵管要有一定长度 ;术后 1年内妊娠率较高。结论 :慢性输卵管炎性梗阻致不孕的患者 ,在施行手术治疗 ,配合输卵管导管加压通液术后 ,输卵管可复通 ,而复孕。
OBJECTIVE: To treat infertility caused by chronic tubal inflammatory obstruction by surgery combined with pressured fluid, so as to improve the rate of tubal regurgitation and the rate of pregnancy. Methods: According to the different parts of the obstruction, take different surgical treatment, postoperative combined with tubal compression fluid. And its different obstruction site, the length of tubal left after surgery, post-operative pregnancy in different age groups and postoperative pregnancy time were compared. Results: Follow-up 89 cases, 71 cases of bilateral patency, 11 cases of unilateral patency, according to the number of fallopian tubes, the recovery rate was 85 95%; 46 cases of intrauterine pregnancy full-term delivery, 2 cases of spontaneous abortion, Rate of 5 3 93%, ectopic pregnancy in 2 cases; postoperative pregnancy, full-term delivery rate of 56.18%; the middle of the block more distant, proximal and distal block high success rate; tubal after a certain length; surgery After 1 year, the pregnancy rate is higher. Conclusion: In patients with infertility caused by chronic tubal obstruction, tubal recanalization and rehospitalization are performed after surgical treatment and combined with tubal catheter pressurization and drainage.