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目的评价选择性输卵管造影与再通术在输卵管阻塞性不孕症中的诊治价值。方法选择经输卵管造影证实输卵管间质部、峡部或壶腹部阻塞的51例不孕妇女的95条输卵管进行选择性输卵管造影及再通术。术后随访6~24个月。结果再通成功率93.4%,妊娠率27.4%(宫外孕1例),再粘连发生率7.8%,无严重并发症。结论选择性输卵管造影和再通术是目前诊治输卵管阻塞性不孕症的一种有效且易于推广的方法。
Objective To evaluate the value of selective salpingography and recanalization in diagnosis and treatment of tubal obstruction infertility. Methods Ninety - five tubal cases of 51 infertile women who had obstruction of the tubal interstitial, isthmus or ampulla were confirmed by salpingography. Selective salpingography and recanalization were performed. Follow-up 6 to 24 months after operation. Results The successful rate of 93.4% and pregnancy rate of 27.4% (ectopic pregnancy in 1 case), re-adhesion rate of 7.8%, no serious complications. Conclusions Selective fallopian tube angiography and recanalization is an effective and easy-to-generalized method for diagnosis and treatment of tubal obstruction infertility.