Trimbos-Kemper T C
Department of Gynecology and Reproduction, Leiden University Medical Center, The Netherlands.
Fertil Steril. 1990 Mar;53(3):575-7.
Microscopic reversal of sterilization in women is successful. Most infertility treatments, however, are bound to an age limit, which in the individual case is sometimes overstepped. To determine if reversal of sterilization in women greater than 40 years of age is justifiable, the data of nine centers of tubal surgery in the Netherlands were analyzed. In 78 women between 40 and 45 years, an intrauterine pregnancy rate of 45% and an ectopic pregnancy rate of 4% was reported. Whereas 26% of first pregnancies ended in a spontaneous abortion, the live birth rate (all healthy children) still amounted to 44%. The mean duration between operation and first pregnancy was 5.5 months. It is concluded that microscopical reversal of sterilization in women between 40 and 45 years is an acceptable infertility treatment.
女性绝育的显微复通手术是成功的。然而，大多数不孕症治疗都有年龄限制，个别情况下有时会超出这个限制。为了确定40岁以上女性绝育复通是否合理，对荷兰9个输卵管手术中心的数据进行了分析。在78名40至45岁的女性中，报告的宫内妊娠率为45%，异位妊娠率为4%。虽然26%的首次妊娠以自然流产告终，但活产率（所有健康婴儿）仍达44%。手术至首次妊娠的平均间隔时间为5.5个月。结论是，40至45岁女性绝育的显微复通是一种可接受的不孕症治疗方法。
