Rock J A, Katayama K P, Martin E J, Woodruff J D, Jones H W
Obstet Gynecol. 1978 Nov;52(5):591-6.
The present study reviews the pregnancy outcome of 99 patients treated with salpingostomy techniques for distal fimbrial obstruction. Eighty-seven patients were treated with terminal salpingostomy, 10 with medioampullary salpingostomy, and 2 with isthmic salpingostomy. The pregnancy rates were 28%, 20%, and 0%, respectively. Within the terminal salpingostomy group, 5 of 18 patients treated with a prosthesis conceived, for a pregnancy rate of 28%. Nineteen of the 69 patients treated with an eversion technique conceived, for a pregnancy rate of 28%. No advantage with the use of a terminal prosthesis could be demonstrated. Tubal disease treated with techniques of salpingostomy was categorized according to a classification incorporating the several prognostic factors thought to influence subsequent conception. The pregnancy rate was found to be in direct relationship to the extent of tubal disease and pelvic adhesion formation. The tubal patency rate decreased in direct relationship to the extent of disease. The use of postoperative hydrotubation did not appear to improve the conception rate after salpingostomy for distal fimbrial obstruction.
本研究回顾了99例因输卵管伞端梗阻接受输卵管造口术治疗患者的妊娠结局。87例患者接受了输卵管末端造口术，10例接受了输卵管壶腹部中段造口术，2例接受了输卵管峡部造口术。妊娠率分别为28%、20%和0%。在输卵管末端造口术组中，18例使用假体治疗的患者中有5例受孕，妊娠率为28%。69例采用外翻技术治疗的患者中有19例受孕，妊娠率为28%。未证明使用输卵管末端假体有优势。采用输卵管造口术治疗的输卵管疾病根据包含几种被认为会影响后续受孕的预后因素的分类进行分类。发现妊娠率与输卵管疾病程度和盆腔粘连形成直接相关。输卵管通畅率与疾病程度直接降低。术后输卵管通液术的使用似乎并未提高输卵管伞端梗阻输卵管造口术后的受孕率。
