University Hospital Saint-Pierre, Free University Brussels, Brussels, Belgium.
Fertil Steril. 2010 Oct;94(5):1844-7. doi: 10.1016/j.fertnstert.2009.10.028. Epub 2009 Dec 11.
To evaluate the pregnancy and delivery outcome of robot-assisted tubal reanastomosis.
Retrospective cohort study.
University hospital.
PATIENT(S): Ninety-seven patients with available follow-up who underwent the reversal of tubal ligation, with a median age of 37 years (range, 24-47 years).
INTERVENTION(S): Tubal reanastomosis by robot-assisted laparoscopy.
MAIN OUTCOME MEASURE(S): Analysis of the distribution of time to conception and to estimate the crude pregnancy and birth rates at 2 years.
RESULT(S): The overall pregnancy and birth rates were 71%, (95% confidence interval [CI], 61%-80%) and 62% (95% CI, 52%-72%). Ninety-one percent (95% CI, 76%-98%) of patients <35 years old became pregnant, and 88% (95% CI, 72%-97%) delivered at least once. The corresponding pregnancy and delivery rates were 75% (95% CI, 57%-89%) and 66% (95% CI, 47%-81%) between 36 and 39 years old, 50% (95% CI, 25%-75%) and 43.8% (95% CI, 20%-70%) between 40 and 42 years old, 33% (95% CI, 10%-65%) and 8.3% (95% CI, <1%-38%) after the age of 43 years.
CONCLUSION(S): This study reports satisfactory birth rates after tubal reanastomosis by robot-assisted laparoscopy in patients aged 40 years or less.
评估机器人辅助输卵管吻合术的妊娠和分娩结局。
回顾性队列研究。
大学医院。
97 例可随访的输卵管结扎后再通患者，中位年龄 37 岁（范围 24-47 岁）。
机器人辅助腹腔镜下输卵管吻合术。
分析受孕时间分布，并估计 2 年内的妊娠和活产粗率。
总体妊娠和活产率分别为 71%（95%可信区间[CI]：61%-80%）和 62%（95% CI：52%-72%）。91%（95% CI：76%-98%）<35 岁的患者妊娠，88%（95% CI：72%-97%）至少分娩一次。相应的妊娠和分娩率为 36-39 岁组为 75%（95% CI：57%-89%）和 66%（95% CI：47%-81%），36-39 岁组为 50%（95% CI：25%-75%）和 43.8%（95% CI：20%-70%），40-42 岁组为 33%（95% CI：10%-65%）和 8.3%（95% CI：<1%-38%）>43 岁。
本研究报告了年龄在 40 岁或以下的患者通过机器人辅助腹腔镜下输卵管吻合术获得满意的活产率。
