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目的 :对输卵管阻塞不孕在造影中增大造影剂用量 ,提高子宫腔及输卵管内的流体静压 ,使阻塞的输卵管获得部分性或完全性复通。方法 :经常规子宫输卵管造影证实为输卵管阻塞患者 ,在常规造影剂用量的基础上加大造影剂注入量。结果 :82例中 164条阻塞输卵管获得再通 40条 (占 2 4 % ) ,部分通畅 42条 (占2 5% ) ,合计占 50 % ,不变 82条 (占 50 % )。结论 :加压法子宫输卵管造影可使部分阻塞输卵管复通 ,对部分复通病例有利于了解输卵管阻塞病理改变 ,提高输卵管病变的诊断率。
OBJECTIVE: To increase the amount of contrast medium used in contrast-enhanced tubal infertility and to increase the hydrostatic pressure in the uterine cavity and fallopian tubes so that obstructive tubal may be partially or completely recanalized. Methods: Conventional hysterosalpingography confirmed tubal occlusion in patients with conventional contrast agent based on the amount of contrast agent injection. Results: Of the 82 cases, 164 obstructed tubal tubes got 40 (24%) recanalization and 42 cases (25%) were partially obstructed, accounting for 50% of the total, 82 of them unchanged (50%). Conclusion: Hysterosalpingography by compression can obstruct part of the fallopian tube recanalization, which is beneficial to understanding the pathological changes of tubal obstruction and improving the diagnosis of tubal lesions.