Caspi E, Halperin Y
Int J Fertil. 1981;26(1):49-52.
The importance of the lysis of periadnexal adhesions with regard to pregnancy rate was evaluated in 101 infertile patients. All patients had at least one patent tube and normal fimbria. The periadnexal adhesions were classified into four grades according to their nature and extent. A significant inverse relationship was noted between the grade of adhesions and the pregnancy rate. The overall pregnancy rate was 45.5%. The pregnancy rate in grade 1 adhesion group was 64.7%, compared with 25.0% in grade IV (P less than 0.05). Postoperative early hydrotubations with hydrocortisone yielded a significantly higher pregnancy rate (52%), compared with patients not treated (25%, P less than 0.02). In order to improve the results, more effort should be directed to the prevention of adhesion formation.
对101例不孕患者评估了附件周围粘连松解术对妊娠率的重要性。所有患者至少有一侧输卵管通畅且伞端正常。根据附件周围粘连的性质和范围将其分为四个等级。粘连等级与妊娠率之间存在显著的负相关关系。总体妊娠率为45.5%。I级粘连组的妊娠率为64.7%，而IV级粘连组为25.0%（P<0.05）。与未接受治疗的患者（25%，P<0.02）相比，术后早期行氢化可的松输卵管通液术的患者妊娠率显著更高（52%）。为了改善结果，应更加努力地预防粘连形成。
