医学
子宫输卵管造影术
不育
输卵管
输卵管阻塞
妊娠率
回顾性队列研究
怀孕
产科
显微外科
妇科
女性不育
外科
人口
研究方法
计划生育
环境卫生
生物
遗传学
作者
Krzysztof Pyra,Maciej Szmygin,Weronika Dymara-Konopka,Anna Zych,Michał Sojka,Tomasz Jargiełło,Bożena Leszczyńska‐Gorzelak
标识
DOI:10.1016/j.ejogrb.2020.08.008
摘要
Objective To assess the efficacy of selective salpingography (SSG) with additional tubal catheterization (TC) among infertile patients diagnosed with PTO and analysis of reproductive outcome. Study Design Retrospective cohort study. Results Of a total of 399 tubes with confirmed proximal tubal occlusion, 383 successfully restored their patency resulting in 96 % technical success rate. Thirty-five percent of oviducts that had their patency restored was treated with SSG and 65% required additional TC. Reproductive outcomes at minimum 12 months following the treatment were collected by a telephone survey. 21/221 women were lost to follow up. Out of remaining 200 patients with at least one patent tube, 80 patients conceived which resulted in 40 % overall pregnancy rate. Conclusion Selective salpingography and tubal canalization offer patient-friendly, minimally invasive and cost-effective alternatives to tubal microsurgery and IVF-ET in women with tubal occlusion with very high technical success rate and promising clinical results which depend also on the complexity of couple infertility. Specific indications and limitations make a careful assessment of fallopian tubes and comprehensive evaluation of partners' reproductive situation prior to therapy an absolute requirement.
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