Caspi E, Halperin Y, Bukovsky I
Fertil Steril. 1979 Mar;31(3):296-300. doi: 10.1016/s0015-0282(16)43877-x.
In only a few studies of reconstructive surgery for infertility has the importance of periadnexal adhesions been examined with regard to the pregnancy rate. In the present study, 101 patients underwent reconstructive surgery for correction of infertility. Subsequent to surgery, 38.6% of the patients conceived, and 72% of the pregnancies terminated in live births. In analyzing the results, attention was focused upon the correlation between the severity of the periadnexal adhesions and the surgical outcome. By classifying the adhesions into four grades, an inverse relationship was noted between the grade of adhesions and the pregnancy rate. This relationship was consistent regardless of tubal condition, and thus became an important prognostic parameter. In the light of these findings it is felt that, in order to improve the results, more effort should be directed to the prevention of adhesion formation, together with the use of microsurgical technique in this particular field.
仅有少数关于不孕症重建手术的研究探讨了附件周围粘连对妊娠率的影响。在本研究中，101例患者接受了不孕症矫正重建手术。术后，38.6%的患者受孕，72%的妊娠以活产告终。在分析结果时，重点关注附件周围粘连的严重程度与手术结果之间的相关性。通过将粘连分为四个等级，发现粘连等级与妊娠率呈负相关。无论输卵管状况如何，这种关系都是一致的，因此成为一个重要的预后参数。鉴于这些发现，人们认为，为了改善结果，应更加努力地预防粘连形成，并在这一特定领域使用显微外科技术。
