分析输卵管吻合术后的妊娠结局及其影响因素。
Analysis of pregnancy outcome after anastomosis of oviduct and its influencing factors.
机构信息
Department of Obstetrics and Gynaecology, The First People's Hospital of Yunnan Province, No.157 of Jinbi road, Kunming, 650032, China.
Medical School of Kunming University of Science and Technology, Kunming, 650500, China.
出版信息
BMC Pregnancy Childbirth. 2019 Oct 30;19(1):393. doi: 10.1186/s12884-019-2469-2.
BACKGROUND
This study aims to investigate the influencing factors of pregnancy after laparoscopic oviduct anastomosis.
METHODS
The data of 156 cases of laparoscopic oviduct anastomosis in our hospital were analyzed.
RESULTS
The pregnancy rate decreased with age (P < 0.005). The pregnancy rate after six years of anastomosis was higher in those with ligation (P < 0.005). The postoperative pregnancy rate significantly increased in subjects with oviduct lengths of > 7 cm (P < 0.01). The pregnancy rate of isthmus end-to-end anastomosis was higher (P < 0.005). The pregnancy rate after bilateral tubal recanalization was higher than that after unilateral tubal recanalization (P < 0.005). The pregnancy rate after laparoscopic tubal ligation and laparoscopic anastomosis was higher than that of open tubal ligation and laparoscopic anastomosis (P < 0.005).
CONCLUSION
The pregnancy rate after laparoscopic oviduct anastomosis is higher in subjects below 35 years old, with a ligation duration of < 6 years, and a length of oviduct of > 7 cm, and those who underwent isthmus anastomosis and laparoscopic oviduct ligation and recanalization.
背景
本研究旨在探讨腹腔镜输卵管吻合术后妊娠的影响因素。
方法
对我院 156 例行腹腔镜输卵管吻合术患者的临床资料进行分析。
结果
年龄越大妊娠率越低（P < 0.005）。吻合术后 6 年结扎组妊娠率较高（P < 0.005）。输卵管长度> 7 cm 者术后妊娠率明显增高（P < 0.01）。峡部端端吻合者妊娠率较高（P < 0.005）。双侧输卵管再通者妊娠率高于单侧输卵管再通者（P < 0.005）。腹腔镜下输卵管结扎和吻合术的妊娠率高于开腹输卵管结扎和吻合术（P < 0.005）。
结论
腹腔镜输卵管吻合术后妊娠率较高的患者为年龄<35 岁、结扎时间<6 年、输卵管长度> 7 cm、行峡部吻合、腹腔镜下输卵管结扎和再通术。
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