What is the success rate of fallopian tube intervention surgery?

Fallopian tube intervention refers to the use of medical equipment to insert into the fallopian tube through the female vagina or cervix to form an image of the fallopian tube in the female body, so that the blocked fallopian tube can be normalized. The success rate of fallopian tube intervention is generally not very high. It can be unblocked through medication or taking some Chinese medicine. Chinese medicine is relatively mild and will not cause major side effects on the body.

Does fallopian tube intervention surgery have a high success rate?

Relatively speaking, it is still relatively low. It can be regulated and unblocked with Chinese medicine. The success rate of surgery is not high.

Treatment Principle

The principle of interventional treatment of infertility caused by fallopian tube obstruction is to use a fallopian tube intervention recanalization device under the monitoring of an X-ray television fluorescent screen, insert a catheter into the fallopian tube opening, inject contrast agent, and observe the course of the fallopian tube and the fimbria. If it is visible, then pressurize and inject a mixed liquid, and use the static pressure of the liquid to restore the canalization of the fallopian tube. This is selective salpingography (SSG). If the fallopian tube is not visualized, an ultra-smooth guide wire is inserted through the catheter to separate the adhesions. If the fallopian tube is unblocked successfully, contrast agent and mixed tubal fluid are injected. This process is called fallopian tube recanalization (FTR).

Indications

Blocked fallopian tubes

Patients with bilateral or unilateral blockage of the interstitial part of the fallopian tube, blockage of the isthmus of the fallopian tube, and blockage of the proximal part of the ampulla of the fallopian tube who wish to have children can undergo tubal interventional recanalization.

Fallopian tube obstruction

For those who have bilateral or unilateral narrowing of the interstitial part or isthmus of the fallopian tube and wish to have children, tubal interventional recanalization can be performed.

Indications

1. Within 3-7 days after the menstruation is over, there is no infection in the genitals and pelvic cavity.

2. Bilateral or unilateral obstruction of the interstitial part, narrow part, and proximal end of the ampulla of the fallopian tube, resulting in obstruction of the fallopian tube.

3. This examination can be performed when the conventional hysterosalpingography cannot be completed due to the loose cervix.

4. If the bilateral or unilateral fallopian tube is obstructed, too thin or twisted, catheter dilation is mainly used to insert the drug through the catheter to reach the affected area to reduce the degree of obstruction.

5. In case of fallopian tube pregnancy, inserting a catheter into the pregnancy side of the fallopian tube and injecting appropriate drugs can inactivate the embryo, terminate the pregnancy, and treat ectopic pregnancy.

Preoperative preparation

1. Before interventional recanalization, a gynecological examination must be performed to rule out acute or subacute inflammation. Gynecological examination to check inflammation is irreplaceable by other tests.

2. Routine examination of leucorrhea to exclude fungal, trichomonas, mycoplasma and chlamydia infections.

3. Routine blood test. The blood items checked before interventional recanalization surgery are routine blood test and four coagulation tests. The purpose of the test is mainly to prepare for the surgery and to understand whether there is any coagulation mechanism disorder. If there is a coagulation mechanism disorder, there may be continuous bleeding during and after the operation, such as hemophilia patients. These patients cannot undergo surgery. It can also be used to check whether there is anemia, thrombocytopenia, white blood cell count, etc.

4. Vaginal disinfection to prevent infection