输卵管再通术治疗不孕症。

University of California, San Diego, 9300 Campus Point Drive, La Jolla, CA, 92037, USA.

CVIR Endovasc. 2023 Mar 13;6(1):13. doi: 10.1186/s42155-023-00356-z.

Infertility is a world-wide problem, defined as failure to achieve pregnancy after 12 months of regular unprotected sexual intercourse. There are multiple causes for infertility involving both male and female factors. Fallopian tube occlusion is a common reason for female infertility. The initial attempts to treat proximal obstruction involved the use of a whalebone bougie positioned in the uterine cornua to dilate the proximal tube by Smith as early as 1849. Fluoroscopic fallopian tube recanalization for the treatment of infertility was first described in 1985. Since that time, there have been over 100 papers describing various methods for recanalization of occluded fallopian tubes. Fallopian tube recanalization is a minimally invasive procedure which is performed on an outpatient basis. It should be a first line therapy for patients with proximal occlusion of fallopian tubes.

不孕症是一个全球性问题，定义为在规律无保护性交12个月后仍未怀孕。不孕症有多种原因，涉及男性和女性因素。输卵管阻塞是女性不孕的常见原因。早在1849年，史密斯就首次尝试使用置于子宫角的鲸骨探条来扩张近端输卵管，以治疗近端阻塞。1985年首次描述了用于治疗不孕症的荧光透视下输卵管再通术。从那时起，已有100多篇论文描述了各种闭塞输卵管再通的方法。输卵管再通术是一种门诊进行的微创手术。它应该是输卵管近端阻塞患者的一线治疗方法。