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目的 探讨选择性输卵管造影术 (SSG)的诊断及治疗效果。方法 1996年 6月至 2 0 0 2年 10月对 74例经子宫输卵管造影术 (HSG)诊断的输卵管阻塞患者行SSG诊治。结果 经过SSG后希望妊娠且随访 1年以上者 6 4例中妊娠 2 4例 ,妊娠率 37 5 %。其中自然妊娠 18例 ,人工授精 (AIH) 5例 ,配子输卵管内移植 (GIFT) 1例。双侧阻塞组 2 0例中有 3例妊娠占 15 0 % ;单侧阻塞组 4 4例中有 2 1例妊娠占 4 7 7%。即单侧阻塞组妊娠率高 ,与双侧阻塞组比较差异有显著性意义 (P <0 0 1)。结论 SSG因操作简便 ,疗效确实 ,适于临床应用
Objective To investigate the diagnosis and treatment effect of selective salpingography (SSG). Methods From June 1996 to October 2002, 74 patients with tubal obstruction diagnosed by hysterosalpingography (HSG) underwent SSG diagnosis and treatment. Results After SSG, we expect to have pregnancy and follow-up more than one year, 64 cases of pregnancy in 24 cases, the pregnancy rate was 37.5%. Of which 18 cases of natural pregnancy, artificial insemination (AIH) in 5 cases, gamete tubal transplantation (GIFT) in 1 case. Three of 20 patients in the bilateral occlusion group had 15.0% of pregnancies and 41.7% of the 4 4 patients in the unilateral occlusion group had pregnancies. In unilateral occlusion group, the pregnancy rate was higher than that in bilateral occlusion group (P <0.01). Conclusion SSG is effective in clinical application due to its simple operation and definite curative effect