Recanalization of Proximal Fallopian Tube Obstruction in the Treatment of Infertility.

IF 1 4区医学 Q4 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

Seminars in Interventional Radiology Pub Date : 2023-08-10 eCollection Date: 2023-08-01 DOI:10.1055/s-0043-1771042

Priya Mody, Gloria Salazar, Maureen P Kohi

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Abstract

Infertility affects approximately 15% of patients worldwide, with up to 40% of cases attributed to tubal disease, and up to 25% of those being proximal fallopian tube obstruction (FTO). Evaluation of tubal patency can be performed via laparoscopic chromopertubation, hysterosalpingography, or hysterosalpingo-contrast-sonography (HyCoSy). In patients with proximal tubal obstruction, fallopian tube recanalization (FTR) can result in up to 100% technical success rate with pregnancy rates of 12.8 to 51%. More pregnancies occur when oil-soluble contrast media are used versus water-soluble contrast media. Complications of FTR are rare and include tubal perforation, ectopic pregnancy, and pelvic infection. Reocclusion of fallopian tubes may occur in 20 to 50% of patients; however, FTR may be repeated in these cases. Overall, FTR is underutilized in the treatment of infertility secondary to proximal FTO and it can obviate costly and time-consuming assistive reproductive techniques such as in vitro fertilization in some patients, as well as decreasing physical and emotional stress.

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治疗不孕症的输卵管近端阻塞再通术。

全世界约有 15% 的不孕症患者，其中高达 40% 的病例归因于输卵管疾病，高达 25% 的病例归因于近端输卵管阻塞 (FTO)。输卵管通畅性评估可通过腹腔镜下输卵管造影、子宫输卵管造影或子宫输卵管造影（HyCoSy）进行。对于输卵管近端阻塞的患者，输卵管再通术（FTR）的技术成功率可达 100%，妊娠率为 12.8% 至 51%。与水溶性造影剂相比，使用油溶性造影剂的妊娠率更高。输卵管造影术的并发症很少见，包括输卵管穿孔、宫外孕和盆腔感染。20%至50%的患者可能会出现输卵管再闭锁；不过，在这些情况下，可重复进行输卵管造影术。总体而言，FTR 在治疗继发于近端 FTO 的不孕症中未得到充分利用，它可以使一些患者免于采用试管受精等昂贵、耗时的辅助生殖技术，还可以减轻患者的身体和精神压力。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Seminars in Interventional Radiology RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING&nb-

CiteScore

1.90

自引率

7.10%

发文量

期刊介绍： Seminars in Interventional Radiology is a review journal that publishes topic-specific issues in the field of radiology and related sub-specialties. The journal provides comprehensive coverage of areas such as cardio-vascular imaging, oncologic interventional radiology, abdominal interventional radiology, ultrasound, MRI imaging, sonography, pediatric radiology, musculoskeletal radiology, metallic stents, renal intervention, angiography, neurointerventions, and CT fluoroscopy along with other areas. The journal''s content is suitable for both the practicing radiologist as well as residents in training.