影响显微外科输卵管间质部吻合术后妊娠率的预后因素。
Prognostic factors influencing the pregnancy rate after microsurgical cornual anastomosis.
作者信息
Donnez J, Casanas-Roux F
出版信息
Fertil Steril. 1986 Dec;46(6):1089-92. doi: 10.1016/s0015-0282(16)49885-7.
Eighty-two women with symmetric cornual blockage were selected for evaluation of the results of microsurgical anastomosis in relation to data from preoperative hysterosalpingography and histologic study of excised tubal specimens. Serial sections from 164 occluded tubal portions were examined. The term pregnancy rate was 44%. Several prognostic factors influencing the postoperative pregnancy rate were revealed: maximized tubal length; preserved intramural portion; absence of chronic inflammation; absence of tubal inclusion in the tubal wall; and absence of tubal endometriosis.
选取82例双侧输卵管间质部阻塞患者，根据术前子宫输卵管造影数据及切除输卵管标本的组织学研究，评估显微外科吻合术的效果。对164个阻塞输卵管段进行连续切片检查。妊娠率为44%。发现了几个影响术后妊娠率的预后因素：输卵管长度最大化；肌壁内部分保留；无慢性炎症；输卵管壁无输卵管包涵体；无输卵管子宫内膜异位症。
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