一项关于输卵管再通术的研究。
A study on tubal recanalization.
作者信息
Ramalingappa A
机构信息
Department of OBS. & GYN., Karnataka Institute of Medical Sciences, Hubli, Karnataka India.
出版信息
J Obstet Gynaecol India. 2012 Apr;62(2):179-83. doi: 10.1007/s13224-012-0165-5. Epub 2012 Jun 8.
OBJECTIVES
To study the various factors affecting the success rate of tubal recanalization and the reasons for failure of the procedure.
METHODS
A retrospective study was conducted during 2000-2007 @ KIMS, Hubli.
RESULTS
Of the 25 subjects who underwent tubal recanalization, 44 % of women conceived and they were >35 years of age. Laparoscopically sterilized patients had better chances of conception (50 %) following reversal than those who were sterilized by Pomeroy's method (30 %). With post-reversal tubal length of >4 cm, pregnancy rate was 50 %. Isthumus-Isthumus and Isthumus-Ampullary anastomosis have 50 % success rates.
CONCLUSION
Tubal recanalization by microsurgical technique is one of the methods to solve infertility after sterilization.
目的
研究影响输卵管再通成功率的各种因素以及该手术失败的原因。
方法
于2000年至2007年在胡布利的KIMS进行了一项回顾性研究。
结果
在接受输卵管再通的25名受试者中，44%的女性怀孕，且她们年龄大于35岁。腹腔镜绝育患者在输卵管复通后受孕的几率（50%）高于采用波默罗伊氏法绝育的患者（30%）。输卵管复通后长度大于4厘米时，妊娠率为50%。峡部-峡部和峡部-壶腹部吻合术的成功率为50%。
结论
显微外科技术进行输卵管再通是解决绝育后不孕问题的方法之一。
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