当院における子宮鏡および術中同時造影を併用した卵管鏡下卵管形成術の臨床的検討

抄録

Objective: To evaluate the clinical effectiveness of falloposcopic tuboplasty assisted by hysteroscopy and X-ray fluoroscopy for tubal infertility.

Design: Retrospective cohort study

Setting: Infertility clinic

Patients: 110 patients with proximal tubal occlusion who were diagnosed by hysterosalphingography, either bilateral or unilateral, from March 2014 to October 2018.

Intervention: The patients were received falloposcopic tuboplasty without laparoscopic surgery. This surgery was assisted by hysteroscopy to set the FT catheter to the uterine cornu accurately and the tubal patency was evaluated by X-ray fluoroscopy during the procedures.

Main outcome: The medical records were reviewed retrospectively for the rate of success and complications. There were 35 cases of bilateral tubal obstruction and 75 cases of unilateral tubal obstruction. Of the 35 bilateral occlusion cases there were 33 cases (94.2%) with successful recanalization. 68 of 75 (90.7%) unilateral occlusion cases received successful recanalization. The rate of pregnancy after FT was 39.1% (43/110 cases), and the cumulative pregnancy rate was 83.3% at six months after FT. The only complication was tubal perforation in 17 cases (15.5%).

Conclusion: Falloposcopic tuboplasty assisted by hysteroscopy and X-ray fluoroscopy is an effective tool for tubal infertility patients.