Mage G, Pouly J L, de Jolinière J B, Chabrand S, Riouallon A, Bruhat M A
Fertil Steril. 1986 Nov;46(5):807-10. doi: 10.1016/s0015-0282(16)49815-8.
A simple preoperative classification is described to predict the intrauterine and ectopic pregnancy rates following distal tubal microsurgery. Laser CO2 microsurgical salpingostomies were performed on 76 patients between January 1979 and January 1984. All of the patients underwent a preoperative assessment, which included hysterosalpingogram and laparoscopy, to formulate a preoperative classification based on a point system. The patients were divided into four groups according to tubal damage, with a subsequent intrauterine pregnancy rate of 58.3% in grade I, 36.6% in grade II, 9.5% in grade III, and 0% in grade IV. The patients were divided into four groups according to adhesions, with a subsequent intrauterine pregnancy rate of 38.8% with no adhesion, 32.0% with mild adhesions, 26.6% with moderate adhesions, and 5.5% with severe adhesions. From these results, a preoperative management is proposed for patients being considered for either distal tubal microsurgery or in vitro fertilization.
本文描述了一种简单的术前分类方法，用于预测远端输卵管显微手术后的宫内妊娠和异位妊娠率。1979年1月至1984年1月期间，对76例患者实施了二氧化碳激光显微输卵管造口术。所有患者均接受了术前评估，包括子宫输卵管造影和腹腔镜检查，以基于评分系统制定术前分类。根据输卵管损伤情况，患者被分为四组，I级患者随后的宫内妊娠率为58.3%，II级为36.6%，III级为9.5%，IV级为0%。根据粘连情况，患者被分为四组，无粘连患者随后的宫内妊娠率为38.8%，轻度粘连患者为32.0%，中度粘连患者为26.6%，重度粘连患者为5.5%。基于这些结果，针对考虑进行远端输卵管显微手术或体外受精的患者，提出了一种术前管理方法。
