Smalldridge J, Tait J
Wellington Hospital.
N Z Med J. 1993 Apr 14;106(953):124-6.
To audit the outcome of tubal surgery performed in Wellington between 1986-90. To establish the appropriate indications for tubal surgery in terms of likely benefit. To compare benefit with other treatment modalities namely in vitro fertilisation.
Data obtained from hospital patient notes, theatre records and personal communication.
There were 71 patients, 67 of whom had been adequately followed up. The total pregnancy rate was 41.8% with an overall term pregnancy rate of 29.8%. The success rate was highest with proximal tubal occlusion and worst for distal disease and endometriosis.
The outcome of the audit is consistent with results worldwide. Tubal surgery allows for natural conception and more than one pregnancy can be conceived as a result. It should be considered the first line treatment for proximal tubal disease and fimbrial adhesions. In vitro fertilisation however should be offered to those with severe distal disease and severe endometriosis.
审核1986年至1990年间在惠灵顿进行的输卵管手术结果。根据可能的获益确定输卵管手术的适当指征。将其获益与其他治疗方式（即体外受精）进行比较。
从医院患者病历、手术记录和个人交流中获取数据。
共有71例患者，其中67例得到了充分随访。总妊娠率为41.8%，足月妊娠率为29.8%。近端输卵管阻塞的成功率最高，远端疾病和子宫内膜异位症的成功率最低。
审核结果与全球结果一致。输卵管手术可实现自然受孕，可能会有不止一次妊娠。对于近端输卵管疾病和伞端粘连，应将其视为一线治疗方法。然而，对于患有严重远端疾病和严重子宫内膜异位症的患者，应提供体外受精治疗。
