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目的 :探讨选择性输卵管造影(SSG)和再通术(FTR)在诊治输卵管梗阻方面的安全性、有效性及提高输卵管疏通率的方法。方法 :在DSA下用COOK公司的FTC -900系列器材对79例149条梗阻的输卵管施行SSG和FTR。每个病例在行子宫输卵管造影(HSG)和FTR之前均注入适量的利多卡因。结果 :149条输卵管中有41条经SSG后即疏通 ,86条经FTR后才疏通 ,有效率达85 2%。随访21例中有9例在半年内受孕。结论 :选择性输卵管造影和再通术是安全、有效的 ,且创伤小 ,是诊治输卵管梗阻性不孕症的首选方法
Objective: To investigate the safety and efficacy of selective salpingography (SSG) and recanalization (FTR) in the diagnosis and treatment of tubal obstruction and to improve the method of tubal dredging rate. METHODS: SSG and FTR were administered to 79 patients with 149 obstructive fallopian tubes under DSA using COOK’s FTC-900 series of devices. In each case, appropriate doses of lidocaine were injected before HSG and FTR. Results: 41 out of 149 tubal tubes were dredged after SSG, while 86 were dredged after FTR, with an effective rate of 85 2%. Nine of 21 patients were followed up within six months. Conclusion: Selective fallopian tube angiography and recanalization are safe, effective and less traumatic, which is the first choice for diagnosis and treatment of tubal obstruction infertility