输卵管粘连松解术、单侧输卵管造口术和双侧输卵管造口术后的手术-妊娠时间间隔。

Surgery-pregnancy time intervals after salpingolysis, unilateral salpingostomy, and bilateral salpingostomy.

作者信息

Jansen R P

出版信息

Fertil Steril. 1980 Sep;34(3):222-5. doi: 10.1016/s0015-0282(16)44951-4.

Abstract

Pregnancy rates and time intervals to achieve pregnancy were determined in 144 patients treated for infertility by lysis of bilateral tubal or peritubal adhesions. The pregnancy rate after bilateral salpingostomy for hydrosalpinges was low (18.7%; n = 91). The eventual pregnancy rate after unilateral salpingostomy with bilateral division of adhesions (43.8%; n = 16), however, was comparable to that after bilateral salpingolysis for purely peritubal adhesions (54.1% n = 37). In contrast, the mean surgery-pregnancy time interval was substantially longer after unilateral salpingostomy (104 weeks) than after bilateral salpingolysis (45 weeks) (P < 0.01). These findings indicate that salpingo-oophorectomy may be preferable to salpingostomy for unilateral hydrosalpinx.

摘要

对144例因双侧输卵管或输卵管周围粘连而接受不育治疗的患者，测定其妊娠率及达到妊娠的时间间隔。输卵管积水行双侧输卵管造口术后的妊娠率较低（18.7%；n = 91）。然而，单侧输卵管造口术联合双侧粘连分离术后的最终妊娠率（43.8%；n = 16）与单纯双侧输卵管周围粘连行双侧输卵管松解术后的妊娠率（54.1%；n = 37）相当。相比之下，单侧输卵管造口术后手术至妊娠的平均时间间隔（104周）明显长于双侧输卵管松解术后（45周）（P < 0.01）。这些发现表明，对于单侧输卵管积水，输卵管卵巢切除术可能比输卵管造口术更可取。