输卵管造口术：24个月和72个月随访时间的比较显示妊娠率有所提高。

Neosalpingostomy: comparison of 24- and 72-month follow-up time shows increased pregnancy rate.

作者信息

Russell J B, DeCherney A H, Laufer N, Polan M L, Naftolin F

出版信息

Fertil Steril. 1986 Feb;45(2):296-8. doi: 10.1016/s0015-0282(16)49171-5.

Abstract

Seventy-two patients, 54 for 5 years and 18 for 6 years, were evaluated between 1 and 2 years and 5 and 6 years after bilateral neosalpingostomy. A 27.7% intrauterine pregnancy rate was reported in those patients treated between 1976 and 1978, with a 14% ectopic pregnancy rate. The subsequent 5- to 6-year follow-up study revealed an increase in the pregnancy rate to 41.6% and in the ectopic pregnancy rate to 17.1%. The increase in the pregnancy rate may reflect the ability of the fallopian tube for ciliogenesis and intrinsic repair. Thus if patients have not conceived within 2 years of neosalpingostomy for distal tubal obstruction, significant reproductive potential still exists.

摘要

对72例患者进行了评估，其中54例随访5年，18例随访6年，时间为双侧输卵管造口术后1至2年以及5至6年。据报告，1976年至1978年期间接受治疗的患者宫内妊娠率为27.7%，异位妊娠率为14%。随后的5至6年随访研究显示，妊娠率增至41.6%，异位妊娠率增至17.1%。妊娠率的增加可能反映了输卵管纤毛生成和自身修复的能力。因此，如果患者因远端输卵管阻塞接受输卵管造口术后2年内未受孕，仍存在显著的生殖潜力。