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目的探讨压迫按摩法子宫输卵管造影在输卵管阻塞再通术中的作用,观察其再通率和再通程度。方法对不孕症患者行子宫输卵管碘水造影检查,筛选出双侧或单侧不同输卵管节段阻塞者200例。采用胃肠X线机自动压迫器压迫式按摩子宫与阻塞部位1～5 min,观察并分析其不同阻塞部位的再通率。结果输卵管阻塞者200例,其中双侧输卵管阻塞118例,单侧输卵管阻塞82例,共318支。经压迫式按摩子宫与阻塞部位疏通201支,再通率达63%,其中间质部阻塞疏通率高达80%。结论压迫式按摩法能明确输卵管阻塞的诊断且能明显提高输卵管阻塞的再通率,在输卵管阻塞再通治疗中有较高的价值。
Objective To investigate the effect of oppression massage hysterosalpingography in tubal recanalization and observe its recanalization rate and recanalization degree. Methods The infertility patients underwent hysterosalpingography with iodine-water contrast to screen out 200 cases of bilateral or unilateral tubal blockage. The gastrointestinal X-ray machine was used to compress the uterus and obstruction site for 1 ~ 5 min. The recanalization rates of different occlusion sites were observed and analyzed. Results 200 cases of tubal occlusion, including 118 cases of bilateral tubal obstruction, unilateral tubal obstruction in 82 cases, a total of 318. The compression massage uterus and obstruction site dredge 201, the re-pass rate of 63%, of which obstruction of the middle part of the dredge rate as high as 80%. Conclusion Compressive massage can clearly diagnose tubal obstruction and can significantly improve the recanalization rate of tubal obstruction, which is of great value in the treatment of tubal occlusion.