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《Journal of Interventional Radiology》 2011-10
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The effectiveness of different interventional methods for partial fallopian tube obstruction:an analysis of 186 cases

TAN Yi-qing,WANG Ya-se,DAI Hong-xiu,LI Hai-tao,DENG Yi,XIONG Li-qin.Department of Radiology,Wuchang Hospital,Wuchang City,Hubei Province 430063,China  
Objective To evaluate selective salpingo-catheterization recanalization therapy in treating partial fallopian tube obstruction through comparing its clinical effectiveness with that of non-interventional radiology methods.Methods During the period from January 2008 to October 2010,a total of 186 infertility women with partial fallopian tube obstruction,which was confirmed with hysterosalpingography,were encountered in authors' hospital.This study protocol was approved by our hospital ethics committee,and informed consent was obtained from all patients.According to different treatment methods,186 patients were divided into two groups.Patients(n = 78) in group A received non-interventional radiology methods,including hydrotubation,enema,laparoscopy,physical therapy and traditional Chinese medication,while patients(n = 108) in group B received selective salpingo-catheterization recanalization therapy.All 186 patients were followed up for more than six months.Close observation on the pregnancy incidence after different treatments and fallopian tube patency was carried out.The clinical findings were documented.The results were statistically analyzed by using paired "x2" test.Results Half a year after different procedures,in group A the pregnancy rate was 12.82%(n = 10),and different degrees of fallopian tube obstruction were found in 31.58% patients.Whereas in group B,during the same period of observation,the pregnancy rate was 58.33%(n = 63),and partial occlusion in cornual region was seen in one patient(0.47%).Significant difference in both pregnancy rate and fallopian tube occlusion rate existed between two groups(P 0.05).Conclusion Because of its minimal invasiveness,high effectiveness and safety,the selective salpingography together with fallopian tube recanalization procedures are well accepted by the patients.The selective salpingo-catheterization recanalization therapy is superior to non-interventional radiology methods in increasing the pregnancy rate and reducing the fallopian tube occlusion rate.It is of value to popularize this technique in clinical practice.
【Fund】: 湖北省武汉市2010-2011年度卫生行业科研基金资助
【CateGory Index】: R711.6
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