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目的探讨选择性输卵管造影(selective salpingography,SSG)及再通术(selective transcervical fallopian tuberecanalization,STFTR)治疗输卵管阻塞性不孕症的临床疗效。方法收集164例行SSG+STFTR患者的完整资料,进行临床分析。结果 287条输卵管复通206条(71.8%)。部分病例出现轻度下腹痛、阴道流血。1年内随访,妊娠48例(29.5%)。随访中有5例患者术后未做通液治疗,半年后未孕来复查,造影显示伞端再次阻塞。结论使用同轴导管导丝进行SSG+STFTR操作简单,费用低,并发症少,应作为治疗输卵管阻塞性不孕的首选方法。
Objective To investigate the clinical effects of selective salpingography (SSG) and selective transcervical fallopian tube recanalization (STFTR) in the treatment of tubal obstruction infertility. Methods The complete data of 164 patients with SSG + STFTR were collected for clinical analysis. Results 287 tubal recurrent 206 (71.8%). Some cases of mild abdominal pain, vaginal bleeding. Follow-up within 1 year, pregnancy 48 cases (29.5%). Follow-up in 5 patients did not pass through the treatment of postoperative, six months after pregnancy to review, angiography showed obstruction again umbrella end. Conclusions SSG + STFTR using coaxial catheter guide wire is simple, inexpensive, and has few complications. It should be the first choice for treating tubal obstructive infertility.