Application of Hystero-laparoscopic Surgery Combined with RF Catheter in 98 Patients with Tubal Infertility
WANG Ya-nan
CHENG Qian-qian
WANG Yu-hua
DU Wen-xin
JIANG Jing
SONG Dian-rong
Abstract:Objective:To evaluate the therapeutic efficiency of the hystero-laparoscopy combined with RF catheter in those patients with tubal obstructive infertility.Methods:A retrospective analysis was performed in 98 cases with tubal obstructive infertility,from January 2014 to February 2016,who treated with hystero-laparoscopy combined with RF catheter.The reason of tubal obstruction was analyzed.The accuracy of the uterus oviduct imaging and hysteroscopic tubal intubation was compared.The therapeutic efficiency,adverse reaction and the postoperative outcome of pregnancy were analyzed.Results:The reasons of tubal obstruction mainly included the lumen adhesion and peritubal adhesion.The accuracy in the uterus oviduct imaging was 54.5%,while it was 85.7%in the hysteroscopic tubal intubation.In those 89 patients with the intraoperative diagnosis,64 patients received the treatment with RF catheter expansion,totally 94 tubal expansion.The total patency rate was 79.8%,the postoperative follow-up rate 80.6%,and the live birth rate 45.6%.Conclusions:The hystero-laparoscopic surgery combined with RF catheter can be used in the treatment of tubal obstructive infertility due to its clearance of focus lesion,and the high postoperative tubal patency rate and pregnancy rate.
Keywords:HysteroscopyLaparoscopyHysterosalpingographyFallopian tube obstructionRadifocus guide wire
Publication Date:2017-01-01
Online Publishing Date:2025-08-15(First online date of this platform, not the publication date of the document)
Pages:4( 103-106 )