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首页> 外文期刊>Current opinion in obstetrics & gynecology >The role of selective salpingography and tubal catheterization in the management of the infertile couple.
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The role of selective salpingography and tubal catheterization in the management of the infertile couple.

机译：选择性输卵管造影术和输卵管导管插入术在不育夫妇管理中的作用。

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PURPOSE OF REVIEW: This review is intended to update the reader about recent developments in the field of selective salpingography and tubal catheterization, to offer an interpretation of the information presented and to suggest further research links. RECENT FINDINGS: The measurement of tubal perfusion pressures at selective salpingography and tubal catheterization has offered a new dimension in the evaluation of the fallopian tube. A classification of infertile women based on tubal perfusion pressures is presented, and this is correlated with the possibility of spontaneous fertility, thus giving selective salpingography and tubal catheterization a prognostic profile in addition to diagnostic and therapeutic functions. Experience derived from the use of the technique in unselected infertile women (i.e. not with proximal tubal blockage) is presented. The use of selective tube catheterization for sterilization purposes joins the mainstream with the publication of the encouraging results of a multinational trial. The debate on the validity of the diagnosis of proximal tubal blockage is enriched by the suggestion that simply rotating the patient during hysterosalpingography will resolve most cases of the condition. The fertility gain by single-tube recanalization in women with unilateral proximal tubal blockage is given further support. The use of oil-based media for selective salpingography and tubal catheterization is discussed. A hypothesis on the pathophysiology of proximal tubal blockage is presented. SUMMARY: The evidence clearly supports the use of selective salpingography and tubal catheterization for infertile women with proximal tubal blockage. The potential of the technique to play a wider role in the management of infertility is demonstrated by recent research.
机译：综述的目的：这篇综述旨在向读者介绍选择性输卵管造影术和输卵管导管插入术领域的最新进展，对所提供的信息进行解释，并提出进一步的研究联系。最新发现：选择性输卵管造影术和输卵管导管插入术对输卵管灌注压力的测量为输卵管的评估提供了新的维度。提出了根据输卵管灌注压力对不育妇女进行分类的方法，这与自发受孕的可能性相关，因此，除了诊断和治疗功能外，选择性输卵管造影和输卵管导管检查还具有预后特征。介绍了在未选择的不育妇女中使用该技术的经验（即未发生近端输卵管阻塞）。选择性管插入术用于灭菌的目的与多国试验令人鼓舞的结果的发表一起成为主流。在子宫输卵管造影术中简单地旋转患者即可解决大多数情况的建议，丰富了关于近端输卵管阻塞诊断有效性的争论。单管再通对单侧近端输卵管阻塞的妇女的生育能力提供了进一步的支持。讨论了使用油基介质进行选择性输卵管造影和输卵管导管插入术。提出了近端输卵管阻塞的病理生理学假说。摘要：证据清楚地支持选择性输卵管造影术和输卵管导管插入术治疗不育女性并伴有近端输卵管阻塞。最近的研究证明了该技术在不育症管理中发挥更广泛作用的潜力。

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