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预测输卵管积水治疗患者的妊娠结局:一项前瞻性研究。

Predicting the pregnancy outcome in patients treated for hydrosalpinx: a prospective study.

作者信息

Boer-Meisel M E, te Velde E R, Habbema J D, Kardaun J W

出版信息

Fertil Steril. 1986 Jan;45(1):23-9. doi: 10.1016/s0015-0282(16)49091-6.

DOI:10.1016/s0015-0282(16)49091-6
PMID:3943648
Abstract

We analyzed the importance of five factors (the nature and extent of adhesions, the macroscopic aspect of the endosalpinx, the thickness of the tubal wall, and the diameter of the hydrosalpinx) for the prediction of subsequent conception in 108 patients treated for hydrosalpinx. Each factor was classified into a score immediately after operation. After follow-up study, each factor was correlated with the pregnancy outcome. The prognostic information of the four most promising factors was combined with Bayes' discriminant analysis. The results clearly indicate the presence of three prognostic classes: a good one (n = 27); an intermediate one (n = 44); and a poor one (n = 37) with a probability of intrauterine pregnancy of 77%, 21%, and 3%, respectively. Moreover, the results allow for a simple classification of each future patient into the appropriate prognostic group. In the present era of in vitro fertilization, this differentiation may have consequences for an optimal treatment of patients.

摘要

我们分析了五个因素(粘连的性质和程度、输卵管内膜的宏观外观、输卵管壁厚度以及输卵管积水的直径)对108例接受输卵管积水治疗患者后续受孕预测的重要性。每个因素在术后立即被分类为一个分数。经过随访研究,每个因素都与妊娠结局相关。将四个最具预测性因素的预后信息与贝叶斯判别分析相结合。结果清楚地表明存在三个预后类别:良好组(n = 27);中等组(n = 44);和不良组(n = 37),其宫内妊娠概率分别为77%、21%和3%。此外,结果允许将每个未来患者简单分类到适当的预后组中。在当前体外受精时代,这种区分可能对患者的最佳治疗产生影响。

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Predicting the pregnancy outcome in patients treated for hydrosalpinx: a prospective study.预测输卵管积水治疗患者的妊娠结局:一项前瞻性研究。
Fertil Steril. 1986 Jan;45(1):23-9. doi: 10.1016/s0015-0282(16)49091-6.
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引用本文的文献

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Is There Still a Place for Reconstructive Surgery in Distal Tubal Disease?输卵管远端疾病的重建手术还有存在的空间吗?
J Clin Med. 2022 Jun 8;11(12):3278. doi: 10.3390/jcm11123278.
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[Results of tubal plasty: ruslts of a Tunisian study].[输卵管成形术的结果:一项突尼斯研究的结果]
Pan Afr Med J. 2014 May 17;18:58. doi: 10.11604/pamj.2014.18.58.4128. eCollection 2014.
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A new classification system for pregnancy prognosis of tubal factor infertility.输卵管因素不孕症妊娠预后的新分类系统。
Int J Clin Exp Med. 2014 May 15;7(5):1410-6. eCollection 2014.
4
Recurrence of hydrosalpinges after cuff neosalpingostomy in a poor prognosis population.预后不良人群行袖套式新输卵管造口术后输卵管积水的复发情况。
J Assist Reprod Genet. 2006 Jun;23(6):285-8. doi: 10.1007/s10815-006-9050-4. Epub 2006 Jul 22.
5
Fibrinolysis in the peritoneal fluid during adhesions, endometriosis and ongoing pelvic inflammatory disease.
Inflammation. 1998 Aug;22(4):341-51. doi: 10.1023/a:1022322814288.
6
Retrograde migration of starch in the genital tract of rabbits.淀粉在兔生殖道中的逆行迁移。
Inflammation. 1997 Oct;21(5):489-99. doi: 10.1023/a:1027307612999.
7
[Current aspects of diagnosis and therapy of tubal sterility].[输卵管性不孕的诊断与治疗现状]
Arch Gynecol Obstet. 1995;257(1-4):310-9. doi: 10.1007/BF02264840.
8
Role of eosinophilic granulocytes in women with infertility and pelvic adhesions.嗜酸性粒细胞在不孕及盆腔粘连女性中的作用。
Inflammation. 1994 Aug;18(4):361-71. doi: 10.1007/BF01534434.
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Factors influencing the success of microsurgery for distal tubal occlusion.
Arch Gynecol Obstet. 1988;243(2):101-6. doi: 10.1007/BF00932975.
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Tubal surgery or in vitro fertilization (IVF)?输卵管手术还是体外受精(IVF)?
J Assist Reprod Genet. 1992 Aug;9(4):309-11. doi: 10.1007/BF01203950.