输卵管栓塞的临床应用

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1、08年06期发排稿赵晓雯3面无图输卵管栓塞术在体外受精一胚胎移植前处理输卵管积水中的应用李强匡延平杨慧琳傅永伦孙红范莉萍石海斌【摘要】目的探讨输卵管栓塞术在体外受精一胚胎移植（TVF-ET）前处理输卵管积水预处理的一种新方法一一输卵管栓塞的介入治疗。方法对86例输卵管积水的患者行输卵管栓塞术，先行子宫输卵管造影术，显示双侧输卵管的位置、形态、积水的程度。再行输卵管再通术,将输卵管积水引流进入腹腔吸收，而后进行输卵管选择性插管，将微弹簧圈通过微导管送入输卵管间质部和峡部。1个月后再行子宫输卵管造影术，检查栓塞的效果。结果行输卵管栓塞86例患者，共栓塞150条输卵管，插管均

2、一次性成功。显示最佳效果者126条输卵管，占84.00%；有效者24条输卵管，占16.00%;无效者为0。与同期治疗的非输卵管积水的对照组91例患者对比，无显著差异。结论输卵管栓塞术应用于体外受精一胚胎移植前对输卵管积水的预处理，是一种创新性的方法，其方法简便，安全，经济，填补了介入治疗在体外受精一胚胎移植应用中的空白。该技术的特点正好弥补了目前临床上常用方法的不足，避免了手术Z苦，对卵巢功能无影响。有着非常远景的发展前途。【关键词】介入治疗；体外受精一胚胎移植；输卵管栓塞；微弹簧圈Managementoffallopiantubsembolizationbeforei

3、nvitrofertilizationandembryotransferLIQiang*,KUANGYan-ping,YANGHuilin,FUYong-lunSUNHong,FANLiping,SHIHaibin.*DepartmentofGynecologyIntervention,ShanghaiPudongnewareahealthcarehospitalforwomenandchildren,Shanghai201206[Abstract]ObjectiveIdentificationofinterventionaltreatmentoffallopiantu

4、besembolization,whichisapretreatmentofhydrosalpinxbeforeinvitrofertilizationandembryotransfer(IVF-ET).MethodsFirst,theoperationforhysterosalpingographyisperformedtoshowthepositionsandshapeofthehydrosalpinx・Thenthehydropsisdrawnintotheceliacinordertobeabsorbedafterperformingfallopiantuber

5、ecanalization.Finally,transvaginaltherapyisperformed,puttingtheembolizationmicrocoilsintothefallopiantubethroughamicrocathete匚・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，杨慧琳，孙红，范莉萍，石海斌）；上海交通大学附属第九医院生殖中心（匡延平、傅永伦）；通信作者：李强Email：liqiangl110@sina.comResultsTheinterventionaltreatmentof150fallopiantubes

6、gotone-offsuccessamong86casesoffallopiantubesembolization.Amongthem,126fallopiantubesachievedgoodresults,amountto84.00%ofthetotal.24fallopiantubeswereeffective,amountto16.00%ofthetotal.Nooneisinvalid・ConclusionsThenewtechnologyfillsinthegapsintheapplicationofinterventionaltreatmentintheI

7、VF-ET.It'samedicalbreakthroughinthedevelopmentofIVF-ET.Therateofpregnancyincreasedsignificantly.Fallopiantubepregnancyisprevented.Thefeatureofthenewtechnologyjustremediesthedefectsofthefourcommonmethodswhichareusedatpresent.Theanaesthesiacomplicationandthesufferingsthecom