Path and therapeutic effects of the interventional treatment by tubal injection for chronic pelvic pain such as pelvic inflammatory disease and obstructive infertility.

Objective To explore the treatment of chronic pelvic pain and tubal obstruction infertility by tubal injection so as to find an ideal way for the treatment of the diseases.Method NCI-I-type digital instrument was used,combined with ultrasonic monitoring,to diagnose 56 cases of pelvic inflammatory disease,such as pain,associated with infertility or planned pregnancy;Pelvic cavity injection or interventional therapy after fallopian tube dredge were given according to the tubal patency,and the efficacy was analyzed.Result Of the 56 cases with pelvic pain,there were only 19 cases of smooth tubes,while 37 cases were tubal occlusion(including 25 cases of incomplete occlusion and 11 cases of unreasonable occlusion),accounting for 66.1%.After treatment,there were 16 cases in the Smooth group whose pelvic pain disappeared,the cure rate being 84.2%;20 cases in the Incomplete occlusion group experienced alleviated pain,,the improvement rate being 76.9%,of which 14 patients got their tubes cleared;In the Occlusion group,45.5%(5/11)got better,with the patency rate being 63.6%(7/11).The cure rate of the pelvic pain of the Smooth group was significantly higher than that of the incomplete and unreasonable occlusion groups(P0.05).The cure rate of pelvic inflammatory disease related pain and the patency rate were 45.5% and 82.4% respectively,while the cure rate of endometriosis-associated pain and the patency rate were 13.0% and 65.0% respectively.The overall patency rate of this study was 72.9%,and the effective rate for chronic pelvic pain was 87.5%.Conclusion Fallopian tube is a physical channel which can be used for diagnosis and treatment of pelvic diseases.NCI-I digital tubal instrument is accurate,easy-to-use,safe,noninvasive,and effective for diagnosis and treatment of pelvic inflammatory diseases.Dredging of fallopian tube can contribute not only to the treatment of infertility caused by tubal obstruction,but also to the treatment of pelvic inflammatory diseases such as chronic pelvic pain.