输卵管复通术后的输卵管阻塞：导管再通的结果
Tubal obstruction after ligation reversal surgery: results of catheter recanalization.
作者信息
Thurmond A S, Brandt K R, Gorrill M J
机构信息
Department of Radiology, Legacy Meridian Park Hospital, Tualatin, OR 97062, USA.
出版信息
Radiology. 1999 Mar;210(3):747-50. doi: 10.1148/radiology.210.3.r99mr10747.
PURPOSE
To evaluate the role of transcervical fallopian tube catheterization in restoring tubal patency after ligation reversal surgery.
MATERIALS AND METHODS
Twenty-four women with tubal obstruction after ligation reversal surgery underwent selective salpingography and tubal recanalization.
RESULTS
Patency was established in 26 (68%) of 38 anastomotic tubes without complication. In the 13 patients who were followed up and who could conceive only via a recanalized anastomotic tube, there were six (46%) pregnancies: two (15%) successful uterine pregnancies, two (15%) early spontaneous abortions, and two (15%) tubal pregnancies. The mean time from procedure to conception was 2 months.
CONCLUSION
Patency of fallopian tubes not visualized at hysterosalpingography after ligation reversal surgery can be established 68% of the time with selective salpingography. In some patients, selective salpingography can be therapeutic. If subsequent conception occurs in these patients, it occurs shortly after the catheterization procedure.
目的
评估经宫颈输卵管插管在输卵管复通术后恢复输卵管通畅中的作用。
材料与方法
24例输卵管复通术后输卵管阻塞的女性接受了选择性输卵管造影和输卵管再通术。
结果
38条吻合输卵管中有26条（68%）恢复通畅且无并发症。在13例接受随访且仅能通过再通的吻合输卵管受孕的患者中，有6例（46%）怀孕：2例（15%）为成功的子宫内妊娠，2例（15%）为早期自然流产，2例（15%）为输卵管妊娠。从手术到受孕的平均时间为2个月。
结论
输卵管复通术后子宫输卵管造影未显示通畅的输卵管，68%的情况下可通过选择性输卵管造影恢复通畅。在一些患者中，选择性输卵管造影具有治疗作用。如果这些患者随后受孕，通常在插管术后不久发生。
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