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1、输卵管积水的栓塞治疗李强，匡延平，傅永伦，李群英，潘芝梅，范莉萍，石海斌［摘要］目的探讨和评价输卵管积水的栓塞治疗方法的可行性。方法在X线透视监视下，行输卵管选择性插管，将微弹簧圈通过微导管送入输卵管的近端，达到栓塞输卵管的冃的。结果输卵管栓塞98例患者，双侧输卵管栓塞66例，单侧输卵管栓塞32例，共栓塞164侧输卵管，插管均一次性成功。输卵管栓塞后一个月行子宫输卵管造影术，显示有效者164侧，100.00%,其屮显示最佳效果者136侧输卵管，占82.93%；无效者为0。结论输卵管栓塞的介入治疗是一项创新性的方法，
2、并冃是行Z冇效的方法，与目前采用的四种方法相比，无手术并发症，简便，安全，经济，对卵巢功能无影响，填补了介入治疗在试管婴儿中应用的一个空白。［关键词］输卵管积水栓塞微弹簧圈介入治疗试管婴儿EmbolismTreatmentforHydrosalpinxLIQiang,KUANGYanping,LIQunying.PANZhimei・DepartmentofGynecologyIntervention,ShanghaiPudongNewAreaHealthCareIlospitaiforWomenandChildre
3、n,Shanghai201206,China[Abstract]ObjectiveToinvestigateandevaluatefeasibilityofEmbolizationforHydrosalpinx・MethodsFirst,theoperationforhystcrosalpingographyisperformedtoshowthepositionsandshapeofthehydrosalpinx.Thenthehydropsisdrawnintotheceliacinordertobeabsor
4、bedafterperformingfallopiantuberecanalization.Finally,transvaginaltherapyisperformed,puttingtheembolizationmicrocoilsintothefallopiantubethroughamicrocatheter.ResuItTheintcrventionaltrcatmentof164fallopiantubosgotone-offsuccessamong98casesoffallopiantubesembol
5、ization.Amongthem,both-sidesfallopiantubescmbolizationwereperformedon66casesandone-sidefallopiantubsembolizationwereperformedon32cases.Amonthlater，theoperationforhysterosalpingographywasperformedafterthefallopiantubesembolization,whichshow164fallopiantubeseffe
6、ctive,amountto100.00%ofthetotaland136fallopiantubesachievedgoodresults,amountto82.93%ofthetotal.Nooneisinvalid.ConclusionsTheinterventionaltreatmentoffallopiantubesembolizationisacreativeandeffectivemethod.Comparedwiththefourcommonmethodswhicharepracticedatpre
7、sent,thenewmethodisconvenient,safetyandeconomical.Thesufferingsthecommonoperationbroughttopatientscouldbeavoided.Thenewtechnologyalsohasnobadeffeettotheovarianfunction.Itfillsinthegapsintheapplicationofinterventionaltreatmentintheinvitrofertilizationandembryot
8、ransfer(IVF_ET)•[Keyworks]Hydrosalpinx;Embolization;microcoils;Interventionaltreatment;IVF-ET作者单位：201206上海市浦东新区妇幼保健院妇科介入治疗室（李强，范莉萍,石海斌）；上海交通人学附属第九人民医院生殖中心（匡延平，傅永伦）；国际和平妇幼保健院放射科（李群英
