Gayán P, Galán G, Waissbluth A, Arteaga J, Bustamante C, Gayán P
Departamento de Obstetricia y Ginecología, Hospital del Salvador.
Rev Chil Obstet Ginecol. 1991;56(6):453-9.
The experience with microsurgical technique in 131 infertile women is presented. The 65.7% had distal tubal occlusion and 16.7% had proximal occlusion. In 48.9% of the women the peritoneal factor was present. In 61.8% distal surgery was done: 16.8% fimbrioplasties and 45% neosalphingostomies. The pregnancy rate was 47.4%. The incidence of ectopic pregnancy was 20%. The 85.5% of the pregnancies was performed in the two first years of follow up. With these results the good prognosis factors, with statistical significance, were: a. Age under 30 years. b. Infertility under 10 years of evolution. c. Normal male factor. The results are commented.
本文介绍了对131名不孕女性采用显微外科技术的经验。其中65.7%为输卵管远端阻塞，16.7%为近端阻塞。48.9%的女性存在腹膜因素。61.8%的患者进行了远端手术：16.8%为输卵管伞端成形术，45%为新造输卵管口术。妊娠率为47.4%。异位妊娠发生率为20%。85.5%的妊娠发生在随访的头两年。根据这些结果，具有统计学意义的良好预后因素为：a. 年龄在30岁以下。b. 不孕病程在10年以下。c. 男方因素正常。对结果进行了讨论。
