输卵管疾病：输卵管插管治疗的价值有限。
Fallopian tube disease: limited value of treatment with fallopian tube catheterization.
作者信息
Hayashi N, Kimoto T, Sakai T, Iwasaki T, Itoh S, Ishii Y, Murashima S, Katoh N, Yamakado K
机构信息
Department of Radiology, Fukui Medical School, Japan.
出版信息
Radiology. 1994 Jan;190(1):141-3. doi: 10.1148/radiology.190.1.8259393.
PURPOSE
Therapeutic role of fallopian tube catheterization was prospectively studied in patients with bilateral fallopian tube obstruction.
MATERIALS AND METHODS
Catheterization was performed in 42 patients with bilateral obstruction; 36 of the patients (67 fallopian tubes) underwent recanalization.
RESULTS
Fifty-two tubes with 54 proximal obstructions were successfully recanalized (technical success rate, 96%), 36 with selective catheterization and 16 with coaxial techniques. Among 13 tubes blocked at the distal portion of the tube, six tubes were negotiated. Perforation or subintimal injury occurred in three tubes, and one patient eventually had a tubal pregnancy. During follow-up of 3 months to 4 years, five patients had conceived, including the patient with a tubal pregnancy and one patient who experienced spontaneous abortion during the first trimester.
CONCLUSION
Fallopian tube catheterization is technically highly successful and diagnostically useful. However, its role in treating fallopian tube diseases is limited, and patients with distally blocked tubes are not good candidates for this procedure.
目的
前瞻性研究输卵管插管术在双侧输卵管阻塞患者中的治疗作用。
材料与方法
对42例双侧输卵管阻塞患者进行插管术；其中36例患者（67条输卵管）进行了再通术。
结果
54处近端阻塞的52条输卵管成功再通（技术成功率96%），36条通过选择性插管术，16条通过同轴技术。在13条输卵管远端阻塞的病例中，6条输卵管成功通过。3条输卵管发生穿孔或内膜下损伤，1例患者最终发生输卵管妊娠。在3个月至4年的随访中，5例患者怀孕，包括发生输卵管妊娠的患者和1例在孕早期自然流产的患者。
结论
输卵管插管术在技术上非常成功且具有诊断价值。然而，其在治疗输卵管疾病方面的作用有限，输卵管远端阻塞的患者不是该手术的理想候选者。
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