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应用输卵管导向管经宫颈行输卵管造影及再通术

Transcervical salpingography and tubal re- canahzation.

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【作者】 武小文罗丽兰庄凤娣

【Author】 Wu Xiao-wen; Luo Li-lan; ZhuangFeng-di.(Tongji Hospital, Tongji Medical University, Wuhan,430030.)

【机构】 同济医科大学附属同济医院

【摘要】 对20例输卵管近端梗阻的患者经宫颈施行输卵管造影及再通术,并对杯状导管法及导向管法进行比较。结果:20例患者有19例输卵管获得再通,再通成功率为95%;4例获宫内妊娠成功;8例输卵管近端梗阻松解后,远端显示不同的病变;7例术后半年输卵管仍保持通畅。输卵管造影及再通术中,患者接受放射剂量平均为6.35mGy。提示:应用导管对输卵管近端梗阻患者进行输卵管造影及再通术简便、有效。导向管法优于杯状导管法。

【Abstract】 he results of transcervical salpingography andtubal recanalization by means of modined Thurmond and Rosch’s technique were reported. Proximal tubal obstruction was diagnosed in 20 infertile women byX-ray hysterosalpingography and / or laporoscopy. Our results showed that tubal recanalization wasachieved in 19(95 % ) of 20 patients, four patients be-came pregnanty following the procedure. Distal tubaldiseases were seen in 8 of 20 patients. Follow up stu-dies revealed tubal patency was maintained in 7(54%)of 13 patients. The mean radiation dosage received bythe patient was 6.35mGy. Compared with Thurmond and Rosch technique the modified technique has theadvantage of decreasing the time of fluroscopy and isa safe,effective and simple method for the diagnosisand treatment of infertile women with proximal tubalobstruction.

  • 【文献出处】 中华妇产科杂志 ,Chinese Journal of Obstetrics And Gynecology , 编辑部邮箱 ,1994年03期
  • 【分类号】R816.91
  • 【被引频次】58
  • 【下载频次】69
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