拉各斯输卵管疾病模式对显微外科手术或体外受精的影响
Implications of pattern of tubal disease for microsurgery or in vitro fertilization in Lagos.
作者信息
Ogedengbe B K, Giwa-Osagie O F, Emuveyan E E
出版信息
J Natl Med Assoc. 1987 May;79(5):510-2.
Tubal disease was found in 78 of 100 consecutive Nigerian patients who had laparoscopy for infertility, while 22 patients had patent tubes. Forty-two patients had bilateral tubal occlusion; 18 had unilateral occlusion, while 18 had gross pelvic adhesions. Forty-one patients had cornual block, and 10 had hydrosalpinges. Multiparas were more prone to unilateral tubal occlusion or gross pelvic adhesions compared with nulliparas. In 27 (35 percent) patients with tubal disease in vitro fertilization (IVF) would be the only suitable treatment, while in another 10 (12 percent) patients with hydrosalpinges, IVF probably offers a better prognosis than microsurgery.
在100例因不孕症接受腹腔镜检查的尼日利亚患者中，78例发现有输卵管疾病，22例输卵管通畅。42例双侧输卵管阻塞；18例单侧阻塞，18例有严重盆腔粘连。41例有输卵管间质部阻塞，10例有输卵管积水。经产妇比未产妇更易发生单侧输卵管阻塞或严重盆腔粘连。在27例（35%）输卵管疾病患者中，体外受精（IVF）是唯一合适的治疗方法，而在另外10例（12%）有输卵管积水的患者中，IVF可能比显微手术预后更好。
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