Boer-Meisel M E, te Velde E R, Habbema J D, Kardaun J W
Fertil Steril. 1986 Jan;45(1):23-9. doi: 10.1016/s0015-0282(16)49091-6.
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.
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。