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目的:探讨输卵管选择性输卵管造影术和介入再通术对输卵管间质部、峡部阻塞不孕症的诊断和治疗价值以及如何提高术后患者的妊娠率。方法:回顾性分析52例(91条)子宫输卵管造影术诊断为输卵管间质部、峡部阻塞不孕症患者行介入治疗。结果:子宫输卵管造影间质部、峡部阻塞52例(91条),行输卵管介入再通术后随访3个月～2a,52例中有21例已妊娠,妊娠率40.3%,其中17例已正常分娩,3例流产,1例异位妊娠。结论:输卵管介入再通术技术简单,疗效可靠,是输卵管间质部、峡部阻塞的不孕症患者首选的诊治方法,合理选择选择性输卵管造影术及输卵管再通术的不孕症患者是提高术后妊娠率的关键。
Objective: To investigate the value of tubal selective salpingography and interventional recanalization in the diagnosis and treatment of tubal interstitial and isthmic obstructive infertility and how to improve the pregnancy rate of postoperative patients. Methods: A retrospective analysis of 52 cases (91) hysterosalpingography diagnosed as tubal interstitial, isthmic obstruction infertility interventional treatment. Results: Hysterosalpingography interstitial and isthmic obstruction in 52 cases (91), followed up for 3 months to 2 years after interventional tubal recanalization, 21 of 52 cases were pregnant, the pregnancy rate was 40.3%, of which 17 cases had been Normal childbirth, 3 cases of abortion, 1 case of ectopic pregnancy. Conclusion: The technique of tubal recanalization is simple and reliable, and is the first choice of diagnosis and treatment of infertility patients with tubal interstitial and isthmus obstruction. The rational choice of selective salpingography and tubal recanalization infertility patients is improved Postoperative pregnancy rate of the key.