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输卵管积水的栓塞治疗.doc

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输卵管积水的栓塞治疗.doc

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文档介绍:非血管介入 Non vascular intervention 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***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,达到栓塞输卵管的目的。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, %,其中显示最佳效果者 136 侧输卵管, %;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,并且是行之有效的方法,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 Embolism Treatment for Hydrosalpinx LIQiang, KUANG Yanping, LI Qunying .PAN Zhimei. Department ofGynecology Intervention, Shanghai Pudong NewArea Health Care Hospital for Women and Children, Shanghai 201206 ,China [Abstract] Objective Toinvestigate and evaluate feasibility of Embolization for Hydrosalpinx. Methods First, the operation for hysterosalpingography isperformed toshow the positions and shape ofthe hydrosalpinx .Then the hydrops isdrawn into the celiac inorder to beabsorbed after performing fallopian tube recanalization. Finally, transvaginal therapy isperformed ,putting the embolization microcoils into the fallopian tube through amicro catheter. Re sult The interventional treatment of164 fallopian tubes got one-off ess among 98cases offallopian tubes embolization. Among them, both-sides fallopian tubes embolization were performed on66cases and one-side fallopian tubs embolization were performed month later ,the operation for hysterosalpingography was perform