摘要
我们随访１９８２年４月至１９９３年６月在我院行显微输卵管复通手术后的１０２９例妇女，发现宫内妊娠率为９３．２９％（９６０／１０２９），术后第一年受孕率最高，为７３．７８％（７５４／１０２９）；术后第一年内前６个月受孕率５４．８１％（５６４／１０２９）明显高于后６个月者４０．８６％（９０／４６５）；前６个月内的前３个月受孕率３７．４１％（３８５／１０２９）又明显高于后３个月２７．８０％（１７９／６４４）。术后各时期宫外孕的发生率均无明显差别；宫内妊娠率与绝育至复通的时间无关；术后的早期通液反而降低宫内妊娠率；抽芯包埋法及夹绝育后复通的宫内妊娠率较高；输卵管峡部吻合后宫内妊娠率最高。因此，我们认为输卵管峡部的抽芯包埋法或夹绝育在目前不失为一种理想的可逆性绝育方法。
One thousand and twenty-nine women with microsurgical tubal reversal after tubal sterilization were followed up.The rate of intrauterine pregnancy was found to be 93.29%.The rate of intrauterine pregnancy was highest(73.78%)in the first year after tubal reversal.In the first year,the chance of pregnancy in the first 6 months was higher(54.81%)than that(40. 86%)in the second 6 months(P<0.01),and the chance in the first 3 months was higher(37.41%)than that(27.80%)in the second 3 months(p<0.01).The rates of ectopic pregnancy after tubal reversal were not statistically different in various stages.The rate of intrauterine pregnancy was not related with the period from sterilization to tubal reversal.Early postoperative hydropertubation can only decrease the rate of intrauterine pregnancy.The rate of intrauterine pregnancy of the tubal reversal after Uchida's method and clips tubal sterilization was higher than that after Pomeroy's tubal ligation. The reanastomosis of isthmus and isthmus resulted in the highest rate of intrauterine pregnancy.So we think that Uchida's and clips tubal sterilization in the isthmus of the tube are ideal and reversible techniques at present.
出处
《生殖与避孕》
CAS
CSCD
北大核心
1996年第2期98-102,共5页
Reproduction and Contraception
