输卵管管腔内留置缝线预防介入再通术后再粘连的临床效
果
高天俊;郭端英;许美丽;张宏光;徐志勇;刘利兰;范义;娄明武
【期刊名称】《中华放射学杂志》 【年(卷),期】2015(000)009
【摘要】Objective To explore the clinical efficacy of indwelling suture in preventing re-adhesion of fallopian tube after fallopian tube recanalization(FTR). Methods Screen 93 patients with fallopian tube obstruction and FTR indications of prospective, the patients without other interference factors of infertility, they were randomized with random sampling into two groups (treatment group 50 and control group 43)and treated by FTR,then the treatment group with indwelling sutures in fallopian tube for 3 days, the control group were infused lipiodol into the tube and with a intrauterine cavity perfusion in 3 days. The two groups received followed up examination at 2,6 months after operation ( a treatment was repeated with the case of re-obstruction) . Follow-up for 12 months to appraise the pregnancy rate and the influence of pregnancy competence of tube with indwelling suture(6 months after operation, to collect and compare the pregnancy rate and ectopic pregnancy rate of patent tube in two groups). Results The tubal patency rate were 89.8%(53/59),89.5%(51/57)of treatment group at 2,6 months
after
operation
and
the
control
group
were75.9%(44/58),75.0%(39/52), there was a significant difference between the two groups(2 m:χ2=4.027, P<0.05;6 m:χ2=3.958,P<0.05). One year after operation,the pregnancy rate of treatment group was 43.2%(16/37) , the control group was 20.6%(7/34) ,there was a significant difference(χ2=4.152,P<0.05). Six
months after operation, the pregnancy rate and ectopic pregnancy rate of patent tube in treatment group were 21.6%(11/51),2/11, the control group were15.4%(6/39),1/6, there was no significant difference between them(pregnancy rate:χ2=0.552,P>0.05). Conclusions The indwelling suture of fallopian tube can prevent re-adhesion better after FTR, then improve the long-term recanalization rate and the pregnancy rate. There is no change on the pregnancy competence of fallopian tube.%目的：探讨输卵管内留置缝线预防输卵管介入再通术（FTR）后管腔再粘连的临床疗效。方法前瞻性筛选符合FTR术适应证，且本人无排卵障碍、配偶无精子异常等干扰因素的输卵管阻塞患者93例，按纯随机抽样法分为治疗组50例和对照组43例，均常规进行FTR术。术后，治疗组输卵管内留置缝线3d；对照组输卵管内注入碘化油并于3d内经宫腔通液1次。两组术后第2、6个月均造影复查输卵管通.情况（闭塞者按各自方法重复治疗1次）。随访患者1年，观察两组妊娠情况及缝线留置会否对输卵管受孕能力造成影响。采用χ2检验比较两组术后6个月内保持通.输卵管的受孕率及异位妊娠率。结果术中治疗组再通成功43例、66条输卵管，缝线放置成功38例59条输卵管，术后6个月复查脱组1例（2条输卵管）、1年终访37例；对照组再通成功38例、58条输
卵管，术后6个月脱组4例（6条输卵管）、1年终访34例。术后第2、6个月治疗组输卵管通.率分别为89.8%（53/59）、89.5%（51/57），对照组分别为75.9%（44/58）、75.0%（39/52），两组相比差异有统计学意义（2个月比较χ2=4.027、6个月比较χ2=3.958,P值均<0.05）。术后1年内治疗组妊娠率为43.2%(16/37)，对照组为20.6%(7/34)，两组差异有统计学意义（χ2=4.152、P<0.05）。术后6个月治疗组通.输卵管受孕率及异位妊娠率分别为21.6%（11/51）、2/11，对照组为15.4%（6/39）、1/6，两组差异无统计学意义（受孕率比较χ2=0.552，P>0.05）。结论输卵管内留置缝线能更好地预防FTR术后管腔再粘连、提高远期复通率，进而提高妊娠率。 【总页数】4页(675-678)
【关键词】输卵管疾病;放射学,介入性;治疗结果
【作者】高天俊;郭端英;许美丽;张宏光;徐志勇;刘利兰;范义;娄明武
【作者单位】518116 深圳市龙岗中心医院介入科;518116 深圳市龙岗中心医院妇产科;518116 深圳市龙岗中心医院介入科;518116 深圳市龙岗中心医院介入科;518116 深圳市龙岗中心医院介入科;518116 深圳市龙岗中心医院介入科;518116 深圳市龙岗中心医院介入科;518116 深圳市龙岗中心医院介入科 【正文语种】中文 【中图分类】 【文献来源】
https://www.zhangqiaokeyan.com/academic-journal-cn_chinese-journal-radiology_thesis/0201240018194.html 【相关文献】
输卵管管腔内留置缝线预防介入再通术后再粘连的临床效果
