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氰基丙烯酸甲酯(MCA)是一种可用于输卵管阻塞的粘合剂。已有文献报道,MCA引起组织坏死、炎症和管腔的纤维化而致输卵管阻塞。一次给药,经子宫输卵管造影(HSG)证实其成功率为70%;1月后再给药,成功率可达90%。由于给药后一个月仍有输卵管的坏死和炎症,因此,间隔1个月并不满意。而本文评价了间隔1月以上给MCA所引起的输卵管闭合率。作者采用FEMCEPT器具,经宫颈插入直到宫底,以手动活塞杆操作,每侧输卵管输送大约0.20ml MCA。61例对象均接受2次给予MCA,
Methyl cyanoacrylate (MCA) is an adhesive that can be used for tubal blockage. It has been reported in the literature that MCA causes tubal occlusion due to tissue necrosis, inflammation and lumen fibrosis. Once administered, hysterosalpingography (HSG) confirmed its success rate was 70%; after 1 month and then administered, the success rate of up to 90%. Tubal necrosis and inflammation remained one month after dosing, and were not satisfied at 1 month intervals. This article assesses the rate of tubal closure caused by MCA at intervals of more than one month. The authors used FEMCEPT instrumentation, transcervical insertion up to the fundus, manual piston rod operation, and about 0.20 ml MCA per oviduct. 61 subjects received two MCA,