摘要
目的针对育龄妇女但已经实施输卵管结扎的患者采用复通术恢复正常妊娠状态,观察患者子宫妊娠能力以及复通效果,旨在了解手术影响因素,提升手术有效性。方法选取我院在2011年7月至2013年7月间收治的在输卵管结扎后实施复通术的患者47例,回顾性分析其临床资料,探讨输卵管炎症情况和输卵管长度对复通率、宫内妊娠率以及宫外妊娠率的影响。结果①患者炎症部位以及程度对于复通成功率而言没有显著性差异(P>0.05),但妊娠成功率与炎症状况呈相关性,双侧炎症的患者与没有炎症的患者两者间宫内妊娠几率差异有统计学意义(P<0.05),患者炎症程度越严重,有效妊娠率就越低。②患者两侧输卵管长度对于复通成功率没有明显影响(P>0.05),但在妊娠方面影响具有明显差异性(P<0.05)。结论患者炎症情况以及输卵管剩余程度均会对妊娠成功几率造成影响,炎症越严重、输卵管剩余长度越短,成功妊娠几率就越小。因此提升妊娠率的关键在于调节输卵管状态,医师应注意术中对输卵管的保护。
Objective To explore the uterine pregnancy capacity and recanalization effect of peproductive age women with salpingostomy after abdominal tubal ligation, so as to understand the factors affecting the operation and enhance the effectiveness of surgery. Methods The clinical data of 47 patients with salpingostomy after abdominal tubal ligation in our hospital from July 2011 to July 2013 were analyzed retrospectively. The effects of inflammation and fallopian tubal length to recanalization success rate, pregnancy success rate （trauterine pregnancy and ectopic pregnancy） were analyzed. Results （!）The sites and degree of inflammation for recanalization success rate had no significance （P 〉0.05）, but pregnancy success rate was correlated with inflammatory conditions; The difference of intrauterine pregnancy rate between patients with bilateral inflammation and patients without inflammation was statistically significant （P 〈0.05）; Patients with more severe inflammation had lower effective pregnancy. （~）Patients＇ bilateral salpingo length had no significant effect on the success rate of recanalization （P 〉0.05）, but it had significant effect on the pregnancy rate （P 〈0.05）. Conclusions For women with salpingostomy after abdominal tubal ligation, the patient＇s remaining length of the fallopian tubes and inflammatory condition have impact on pregnancy after recanalization, and the more severe inflammation, and the shorter the remaining length of the fallopian tubes, the smaller the probability of successful pregnancy. The key to improve pregnancy rate is regulation of tubal state, and clinicians should pay attention to the protection of tubal during surgery.
出处
《临床医学工程》
2014年第4期475-476,共2页
Clinical Medicine & Engineering
关键词
输卵管结扎
复通手术
妊娠几率
Tubal ligation
Recanalization surgery
Pregnancy rate
