Analysis Of Effect Of Cook Wire On Treatment Of Infertility Caused By Fallopian Tube Factors With Hysteroscope Association Laparoscope

Objective: Explore the guidewire Cook laparoscopic united palace of infertility treatment of oviduct obstructive clinical effect.Methods: Women were retrospectively analyzed obstetrics and gynecology hospital in hunan province January 2008 until 2009 02 psychomotor agitation by uterine oviduct infertility patients were diagnosed iodine oil selective arteriography tubal obstruction 98 patients. Firstly the selective arteriography unilateral and bilateral obstruction by 98 patients laparoscopic combined surgery, in the palace of tubal obstruction of laparoscopic look under the observation and understanding and blocking parts degree of pelvic and tubal palace of palace, appearance of pelvic lesion corresponding after surgery, again under hysteroscopy in laparoscopic surveillance Cook godet treatment look straight downside of tubal obstruction. Observe palace of the guidewire Cook laparoscopic joint treatment results, postoperative 1 menstrual uterine oviduct imaging evaluation results, the follow-up of pregnancy and the pregnancy and time relationship.Results: 98 patients via palace laparoscopic found palace 47 patients, accounting for pelvic lesions 47.96%. Preoperative diagnosis of tubal uterine oviduct imaging by bilateral and the different degree of 154 unilateral tubes were blocked by the palace laparoscopic joint Cook, the guidewire after treatment, including interstitial department of tubal patency 64 68 blocked the patency rate 94.1% (64/68), failure four, failure 5.9% (4/68); Article 42 the spondylolysis tubal patency 39 of the obstruction patency rate 92.9 (39/42), failure 3, failure 7.1% (3/42); Pot belly 27 article 23, tubal patency obstruction patency rate efficiency (23/27), failure, failure rate of four recent (4/27); Umbrella department 22 jams fallopian tube patency 18 patency rate 81.8% (18/22), failure four, failure 18.2% (4/22). Article 144 postoperative always successful unobstructed, before treatment, and the total effective rate of treatment 93.5% (144/154). Intraoperative have occurred in 2 cases, no other tubal perforation complications. Postoperative 1 months line uterus, fallopian tube iodine oil imaging curative effect, visit 782 patients, article 126 fallopian tube patency 115 bar patency rate of 91.3% (115/126). Follow-up of 82 cases, total pregnancy in 29 cases. 35.4% pregnancy rates. Secondary 21 cases of infertility, pregnancy rate in 25.6% (21/82); 8 cases of infertility pregnancy, pregnancy rate for 9.8% (8/82). After a year accumulative intrauterine pregnancy rate 24.4% (20/82) than one to two years after intrauterine pregnancy rate 8.5% (7/82) obvious high. P < 0.05, statistically significant.Conclusions: Palace Cook godet treatment of laparoscopic joint tubal infertility, compensate for the pure obstructive the hysteroscopic treatment of the guidewire or laparoscopic more definite limitations of tubal obstruction, the location and degree, enhancing the tubal patency rate and obstructive infertile patients probability of conception. Palace with the guidewire Cook laparoscopic joint visual, comprehensive, accurate, good effect and success rate higher characteristic, is the treatment of oviduct infertility. Ideal methods of obstructive...