Wu C H, Minassian S S
Department of Obstetrics and Gynecology, Jefferson Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania.
Int J Fertil. 1989 Jan-Feb;34(1):56-61.
A pelvic scoring and staging system previously reported was used to evaluate 77 major microsurgical procedures during a 3-year period. Pregnancy rates by clinical assessment groups were (a) surgery indicated for tubo-ovarian adhesions (SGY:F) = 50%; (b) surgery indicated with other pelvic pathology, such as adnexal masses or myoma (SGY:F/etc) = 23%; and (c) surgery questionably indicated (SGY:?) = 18%. Using the scoring system, pregnancy rates by stage were 75%, 41%, and 14% for Stages I, II, and III, respectively. The pregnancy rate was higher in the pure tubal factor group as compared with those with additional infertility factors. Pelvic scores and stages correlated well with clinical expectations. Life-table analysis of cumulative pregnancy rates showed that all subsequent pregnancies occurred within the 24 months following surgery. A significant correlation noted between pelvic scores and cumulative pregnancy rates illustrates the system's usefulness in predicting reproductive potential postoperatively. This method can be used to assist the surgeon in establishing a couple's prognosis and to compare results between surgeons or different surgical techniques.
采用先前报道的盆腔评分和分期系统，对3年期间的77例主要显微外科手术进行评估。根据临床评估分组的妊娠率如下：(a) 因输卵管卵巢粘连而进行手术（SGY:F）=50%；(b) 因其他盆腔病变（如附件肿块或肌瘤）而进行手术（SGY:F/等）=23%；(c) 手术指征存疑（SGY:?）=18%。使用该评分系统，I期、II期和III期的妊娠率分别为75%、41%和14%。与存在其他不孕因素的患者相比，单纯输卵管因素组的妊娠率更高。盆腔评分和分期与临床预期密切相关。累积妊娠率的生命表分析表明，所有后续妊娠均发生在手术后的24个月内。盆腔评分与累积妊娠率之间存在显著相关性，这表明该系统在预测术后生殖潜能方面具有实用性。该方法可用于协助外科医生确定夫妇的预后，并比较不同外科医生或不同手术技术的结果。
