Lalos O
Department of Obstetrics and Gynecology, University Hospital of Umeå, Sweden.
Eur J Obstet Gynecol Reprod Biol. 1988 Oct;29(2):129-36. doi: 10.1016/0028-2243(88)90139-6.
Data regarding previous pelvic inflammation, abdominal surgery, endometriosis, obstetrical anamnesis, usage of IUD, occurrence of abdominal pain, vaginal discharge and metrorrhagia were obtained from 120 women with tubal infertility and compared to similar data from 126 pregnant women. Previous abdominal surgery, especially pelvic surgery was the most frequent risk factor present in 59% of the infertile women followed by pelvic inflammation (42%) and endometriosis (10%). In 23% of the infertile women there was no history of abdominal surgery, inflammation or endometriosis. Abdominal surgery, inflammation, ectopic pregnancy, salpingectomy and ovarian resection were significantly more frequent among the women with tubal infertility than among the pregnant women. Finally, there was no significant difference in the occurrence of appendectomy, IUD usage, induced or spontaneous abortion.
从120名输卵管性不孕女性中获取了有关既往盆腔炎症、腹部手术、子宫内膜异位症、产科病史、宫内节育器使用情况、腹痛、阴道分泌物及子宫出血的资料,并与126名孕妇的类似资料进行比较。既往腹部手术,尤其是盆腔手术是最常见的危险因素,59%的不孕女性存在该因素,其次是盆腔炎症(42%)和子宫内膜异位症(10%)。23%的不孕女性无腹部手术、炎症或子宫内膜异位症病史。输卵管性不孕女性中腹部手术、炎症、宫外孕、输卵管切除术及卵巢切除术的发生率显著高于孕妇。最后,阑尾切除术、宫内节育器使用、人工流产或自然流产的发生率无显著差异。