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在末次显微外科输卵管成形术后第8天进行早期腹腔镜检查监测下的妊娠情况。

Pregnancies after terminal microsurgical tuboplasties with early laparoscopic control on the 8th day.

作者信息

Henry-Suchet J, Soler A, Paris F X, Loffredo V

出版信息

Acta Eur Fertil. 1983 Nov-Dec;14(6):377-87.

PMID:6232806
Abstract

226 terminal or bipolar tuboplasties performed in a continuous series from 1976 to 1982, using microsurgical techniques, are reviewed. 5 varieties of fimbrioplasties and 5 of salpingostomies are described. As previously published, an early laparoscopy was systematically performed 8 days after the plasty, with destruction of new adhesions, the latter being a bilateral obstacle to fecundation in 10% of the total. Out of 175 primary tuboplasties, cumulative pregnancy rate (CPR) is 66% +/- 2 X 6,5 and "real" pregnancy rate (RPR) 46%. For 96 cases of hydrosalpinges, CPR is 49% +/- 2 X 7,5 and RPR 43%. The ectopic pregnancy rate is 9% and spontaneous abortion rate 8%. Out of 47 terminal iterative tuboplasties CPR is 30% +/- 2 X 9 and RPR 25%. 10% of the pregnancies are attributed to the early laparoscopy, which enabled one to destroy bilateral adhesions in these cases.

摘要

回顾了1976年至1982年期间连续进行的226例输卵管端端或双极输卵管成形术,采用显微外科技术。描述了5种输卵管伞端成形术和5种输卵管造口术。如先前发表的那样,在成形术后8天系统地进行早期腹腔镜检查,破坏新形成的粘连,在总数的10%中,后者是受孕的双侧障碍。在175例原发性输卵管成形术中,累积妊娠率(CPR)为66%±2×6.5,“实际”妊娠率(RPR)为46%。对于96例输卵管积水病例,CPR为49%±2×7.5,RPR为43%。异位妊娠率为9%,自然流产率为8%。在47例输卵管端端重复成形术中,CPR为30%±2×9,RPR为25%。10%的妊娠归因于早期腹腔镜检查,这使得在这些病例中能够破坏双侧粘连。

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Pregnancies after terminal microsurgical tuboplasties with early laparoscopic control on the 8th day.在末次显微外科输卵管成形术后第8天进行早期腹腔镜检查监测下的妊娠情况。
Acta Eur Fertil. 1983 Nov-Dec;14(6):377-87.
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