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[子宫输卵管造影和腹腔镜检查后的妊娠]

[Pregnancy after hysterosalpingography and laparoscopy].

作者信息

Gabrić Z, Jurić-Vitanović A, Sestanović Z, Cecuk S, Poljak B

出版信息

Jugosl Ginekol Perinatol. 1989 Jan-Apr;29(1-2):44-7.

PMID:2525657
Abstract

Pregnancies following hysterosalpingography (HSG) and laparoscopy (LPSK) are described. HSG was performed in 463 and laparoscopy in 255 patients if they did not conceive within 6 months following HSG. Group I included patients with bilaterally occluded tubes, group II patients with pathological changes in the tubes with one or both unobstructed tubes, and group III patients with normal HSG and LPSK findings. Group I included 79 patients, group II 163 and group III 221 patients after HSG, and group I 42, group II 118 and group III 95 patients after LPSK. After the application of both methods, pregnancy was to be expected only in patients from group II and III. During the year following HSG, out of 384 patients from groups II and III, 55 (14.3%) conceived, and following LPSK, out of 213 patients from groups II and III, 28 (13.1%) conceived. Following the applications of both methods, 83 (27.4%) patients from groups II and III conceived. The number of spontaneous pregnancies after HSG and LPSK is almost equal. It may therefore be assumed that it is only the mechanical activity of the perfusion liquid that has a therapeutic effect.

摘要

本文描述了子宫输卵管造影术(HSG)和腹腔镜检查(LPSK)后的妊娠情况。如果患者在HSG后6个月内未受孕,则对463例患者进行HSG检查,对255例患者进行腹腔镜检查。第一组包括双侧输卵管阻塞的患者,第二组包括输卵管有病理改变且一侧或双侧输卵管通畅的患者,第三组包括HSG和LPSK检查结果正常的患者。HSG后,第一组有79例患者,第二组有163例患者,第三组有221例患者;LPSK后,第一组有42例患者,第二组有118例患者,第三组有95例患者。应用这两种方法后,仅第二组和第三组的患者有望妊娠。在HSG后的一年中,第二组和第三组的384例患者中有55例(14.3%)受孕,在LPSK后的一年中,第二组和第三组的213例患者中有28例(13.1%)受孕。应用这两种方法后,第二组和第三组的83例患者(27.4%)受孕。HSG和LPSK后的自然妊娠数量几乎相等。因此,可以假设只有灌注液的机械作用具有治疗效果。

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