40岁及以上女性输卵管复通术后的生殖结局。
Reproductive outcome after tubal reversal in women 40 years of age or older.
作者信息
Glock J L, Kim A H, Hulka J F, Hunt R B, Trad F S, Brumsted J R
机构信息
University of Vermont College of Medicine, Burlington, USA.
出版信息
Fertil Steril. 1996 Apr;65(4):863-5. doi: 10.1016/s0015-0282(16)58227-2.
OBJECTIVE
To determine the reproductive outcome of women who received a microsurgical tubal anastomosis operation at age 40 years or older.
DESIGN
Multicenter retrospective cohort study.
SETTING
Four university teaching hospitals.
PATIENTS
Fifty-two women having undergone tubal sterilization reversal at age > or = 40 years.
MAIN OUTCOME MEASURES
Pregnancy and live birth rate.
RESULTS
Of the 52 women, 10 were lost to follow-up. Of those traced, 18 of 42 (42.8 percent) conceived. Of those 18, 6 patients had a live birth, 10 patients had a first trimester spontaneous abortion, 1 patient had an ectopic pregnancy, and 1 patient had an elective termination. Overall, the live birth rate was 14.3 percent, spontaneous abortion rate was 23.8 percent, and ectopic pregnancy rate was 2.4 percent.
CONCLUSIONS
Microsurgical tubal anastomosis is a justifiable alternative to IVF-ET in women age 40 years or older.
目的
确定40岁及以上接受显微外科输卵管吻合术女性的生殖结局。
设计
多中心回顾性队列研究。
地点
四家大学教学医院。
患者
52名年龄大于或等于40岁且接受输卵管绝育逆转术的女性。
主要观察指标
妊娠率和活产率。
结果
52名女性中，10名失访。在接受随访的患者中，42名中的18名（42.8%）怀孕。在这18名患者中，6名活产，10名在孕早期自然流产，1名宫外孕，1名选择性终止妊娠。总体而言，活产率为14.3%，自然流产率为23.8%，宫外孕率为2.4%。
结论
对于40岁及以上女性，显微外科输卵管吻合术是体外受精-胚胎移植的合理替代方案。
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