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《Journal of Interventional Radiology》 2006-05
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A clinical study of fallopian tube recanalization by comptesswely injecting contrast medunm into the uterus

XI Jia-yuan, JIANG Yong, ZHU Ying, GONH Hai-feng, Lu Liang, ZHAO Xing-xiang, FAN Ming, WEI Ding-ying, HUA Jian. Department of Radiology, Yunnang Privince First People's Hospital,Kunming 650032, China  
Objective To search for a new, simple, rapid, safe and effective method with combination of hystero. salingography and fallopian tube recanalization. Methods After the double-lumen balloon cather was inserted into the uterine cavity and then followed by saline or air injection into to the saccule .The internal os of cervix was thus blocked by the filled saccule. Iohexol was injected into uterine cavity and fallopian tubes to undertake hystero-salingography and selective radiography under the television observation. In cases of obstruction the fallopian tube recanalization could be obtained by manual increasing the contrast injection pressure into the uterine cavity. Results 2698 cases including 811 primary infertile women and 1887 cases of secondary infertilities were examed by this method. The number of obstructed fallopian tube was 3082 including 1561 right fallopian tubes and 1521 left ones. The rate of tube obstruction was 77.77% and that of tube recanalization was 88.96% incuding 2397 branches recanalized completely and 322 partially recanalizd. The venous reflux was found in 27 cases and light complications included slight vagina bleeding, mild transient spastic pain without mortality. Conclusion This method of combining hystero- salingography and fallopian tube recanalization, is safe, effective, economic and practical for infertile women with quick procedure process;and worthy to be recommonded. (J Intervent Radiol, 2006, 15: 286-289)
【CateGory Index】: R711.6
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