减肥手术后胃漏导致输卵管因素不孕症的腹腔镜评估中的困惑发现：一例报告。
Perplexing findings during laparoscopic evaluation for tubal factor infertility resulting from a gastric leak after bariatric surgery: A case report.
作者信息
Poch Alexandra M, Dougherty Michael, Roman Robert A, Gavrilova-Jordan Larisa
机构信息
Department of Obstetrics and Gynecology, Augusta University Medical Center, Augusta, GA, USA.
Section of Reproductive, Endocrinology, Infertility and Genetics, Augusta University Medical Center, Augusta, GA, USA.
出版信息
Case Rep Womens Health. 2022 Nov 24;36:e00460. doi: 10.1016/j.crwh.2022.e00460. eCollection 2022 Oct.
Tubal factor is the primary type of female infertility, accounting for 25-35% of cases. Common causes include inflammation due to pelvic inflammatory disease, septic abortion, tubal surgery, and surgical adhesions. Bariatric surgery is becoming increasingly popular as rates of obesity rise, with over 256,000 surgeries performed in 2019. Half of these procedures were performed on women of reproductive age. This is the first reported case of a patient with tubal factor infertility as a result of a gastric leak from a remote sleeve gastrectomy that led to extensive abdominal and pelvic adhesions.
输卵管因素是女性不孕的主要类型，占病例的25%-35%。常见原因包括盆腔炎、感染性流产、输卵管手术及手术粘连引起的炎症。随着肥胖率上升，减肥手术越来越普遍，2019年实施了超过25.6万例手术。其中一半手术是针对育龄女性进行的。这是首例报告的因远端袖状胃切除术胃漏导致广泛腹腔和盆腔粘连而引起输卵管因素不孕的病例。
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