Confino E, Tur-Kaspa I, DeCherney A, Corfman R, Coulam C, Robinson E, Haas G, Katz E, Vermesh M, Gleicher N
Department of Obstetrics and Gynecology, Mount Sinai Hospital, Medical Center, Chicago, Ill.
JAMA. 1990;264(16):2079-82.
Transcervical balloon tuboplasty represents a noninvasive technique to treat proximal tubal occlusion. In a multicenter study, 77 women with confirmed bilateral proximal tubal occlusion underwent the procedure. In 71 patients (92%), at least one proximally obstructed fallopian tube was recanalized. Concomitant distal bilateral tubal occlusions were diagnosed after successful proximal tubal balloon recanalizations in 13 patients (17%). In the remaining 64 patients, 22 clinical pregnancies (34%) have been confirmed during a median follow-up period of 12 months. Among those, 17 (77%) resulted in normal deliveries and five (23%) resulted in a first-trimester miscarriage. One patient was diagnosed with an ectopic pregnancy. Among 25 patients who had not conceived within 6 months of the procedure, 17 (68%) demonstrated continuing tubal patency on repeated hysterosalpingogram. We conclude that transcervical balloon tuboplasty is a safe outpatient technique that may represent an alternative to in vitro fertilization or microsurgical reanastomosis of fallopian tubes.
经宫颈球囊输卵管成形术是一种治疗输卵管近端阻塞的非侵入性技术。在一项多中心研究中，77名确诊为双侧输卵管近端阻塞的女性接受了该手术。71例患者（92%）至少有一条近端阻塞的输卵管再通。13例患者（17%）在近端输卵管球囊再通成功后被诊断为合并远端双侧输卵管阻塞。在其余64例患者中，在中位随访期12个月内确诊22例临床妊娠（34%）。其中，17例（77%）顺产，5例（23%）在孕早期流产。1例患者被诊断为异位妊娠。在术后6个月内未受孕的25例患者中，17例（68%）在重复子宫输卵管造影时显示输卵管持续通畅。我们得出结论，经宫颈球囊输卵管成形术是一种安全的门诊技术，可能是体外受精或输卵管显微外科再吻合术的替代方法。
