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腹腔镜监测下宫腔镜输卵管插管术治疗输卵管近端梗阻的疗效分析

陈俊 侯海燕 董渠龙 陈亚琼 陈晓 胡春秀 杨振华

国际妇产科学杂志2016,Vol.43Issue(3):263-266,4.
国际妇产科学杂志2016,Vol.43Issue(3):263-266,4.

腹腔镜监测下宫腔镜输卵管插管术治疗输卵管近端梗阻的疗效分析

The Efficacy Analysis in the Treatment of Proximal Tubal Obstruction Using Laparoscopy-guided Hysteroscopic Tubal Catheterization

陈俊 1侯海燕 2董渠龙 1陈亚琼 2陈晓 3胡春秀 4杨振华4

作者信息

  • 1. 300193 天津中医药大学
  • 2. 中国人民武装警察部队后勤学院附属医院妇产科
  • 3. 中国医学科学院北京协和医学院
  • 4. 中国人民武装警察部队后勤学院附属医院妇产科
  • 折叠

摘要

Abstract

Objective:To investigate the efficacy in the treatment of proximal tubal obstruction using laparoscopy-guided hysteroscopic tubal catheterization (LHTC). Methods:Data from 336 patients with proximal tubal obstruction who accepted LHTC treatment in the Affiliated Hospital of Logistics College of the Chinese People's Armed Forces from January 2010 to December 2012 were analyzed. After LHTC, a follow-up within 24 months was performed, then pregnancy rate and pregnancy outcome were recorded. Results: The successful recanalization rate was 54.70% per tube and 63.10% per patient. The cumulative pregnancy rate and live birth rate in 2 years of the group whose at least one fallopian was 43.40%and 33.96%;in the group whose fallopian was failed to recanalized, the cumulative pregnancy rate and live birth rate was 8.06%and 7.26%. The difference between the two groups was significant (P<0.05). Conclusions: Successful tubal cannulation led to significant improvement in the pregnancy rate as similar efficacy as IVF, which suggests that women with a proximal tubal block could be considered for LHTC as the first choice.

关键词

输卵管阻塞/不育,女(雌)性/导管插入术/插管法/输卵管/妊娠率/妊娠结局

Key words

Fallopian tube obstruction/Infertility,female/Catheterization/Intubation/Fallopian tubes/Pregnancy rate/Pregnancy outcome

引用本文复制引用

陈俊,侯海燕,董渠龙,陈亚琼,陈晓,胡春秀,杨振华..腹腔镜监测下宫腔镜输卵管插管术治疗输卵管近端梗阻的疗效分析[J].国际妇产科学杂志,2016,43(3):263-266,4.

基金项目

武警后勤学院创新团队子课题(WHTD201309-4);武警后勤学院附属医院种子基金 ()

国际妇产科学杂志

OACSTPCD

1674-1870

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