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Evaluation of selective salpingography and fallopian tube recanalization for proximal tubal obstruction

KANG Linying, SUN Lingzhu, TIAN Xiaomei Department of Radiology, Gynaecology and Obstetrics Hospital of Shanghai Medical University, Shanghai 200011  
Objective To evaluate the safety and efficacy of selective salpingography combined with fallopian tube recanalization for the diagnosis and treatment of proximal tubal obstruction. Methods 103 cases were diagnosed by hysterosalpingogram (HSG), selective salpingography was performed with self made catheter. If proximal tubal obstruction was still present, then followed fallopian tube recanalization. Results 51 of 135 tubes became patent by only selective salpingography, 64 of the remaining 84 tubes were made patent by fallopian tube recanalization. Effective rate was 85.2%. 30 cases of follow up showed 8 intrauterine pregnancies (IUPs) and 1 ectopic pregnancy after recanalization and 5 IUPs after selective salpingography. Conclusions Selective salpingography or fallopian tube recanalization should be considered at the time of HSG showing proximal tubal obstruction. They are a safe and effective procedure for the diagnosis and treatment of proximal tubal obstruction.
【CateGory Index】: R711.6
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