van de Water Marije, Bosteels Jan, De Sutter Petra, Weyers Steven
* Department of Obstetrics and Gynaecology, Ghent University Hospital , Ghent.
Eur J Contracept Reprod Health Care. 2015 Jun;20(3):193-200. doi: 10.3109/13625187.2014.990087. Epub 2014 Dec 29.
To determine the pregnancy rate achieved through laparoscopic tubal reanastomosis using only standard 5 mm laparoscopic instruments and standard suturing material.
Data from 100 consecutive laparoscopic tubal reanastomosis procedures done between September 2002 and September 2010 were retrospectively analysed. All procedures were performed by the same surgeon using standard 5 mm laparoscopic instruments and with the placing of three or four sutures of standard polyglycan 4/0 suturing material. The main outcome measures were: (intrauterine) pregnancy rate and live birth rate before and after 40 years of age, and tubal patency rate.
Six patients had no active child wish and six others were lost to follow-up, thus leaving 88 of 100 patients for evaluation. Fifty-eight of these conceived, giving a total pregnancy rate (PR) of 66%. The PR in women younger than 40 years was significantly greater than that achieved by those aged 40 or more (73% vs. 29%, p = 0.001).
Laparoscopic tubal reanastomosis with standard 5 mm laparoscopic instruments results in a satisfactory pregnancy rate.
确定仅使用标准5毫米腹腔镜器械和标准缝合材料进行腹腔镜输卵管再吻合术的妊娠率。
回顾性分析2002年9月至2010年9月期间连续进行的100例腹腔镜输卵管再吻合术的数据。所有手术均由同一位外科医生使用标准5毫米腹腔镜器械，并使用标准聚多糖4/0缝合材料放置三到四根缝线完成。主要观察指标为：40岁前后的（宫内）妊娠率和活产率，以及输卵管通畅率。
6例患者无生育意愿，另有6例失访，因此100例患者中88例可供评估。其中58例怀孕，总妊娠率（PR）为66%。40岁以下女性的PR显著高于40岁及以上女性（73%对29%，p = 0.001）。
使用标准5毫米腹腔镜器械进行腹腔镜输卵管再吻合术可获得令人满意的妊娠率。
