医学临床研究
醫學臨床研究
의학림상연구
JOURNAL OF CLINICAL RESEARCH
2014年
10期
1972-1974
,共3页
输卵管造口术/方法%显微外科手术%妊娠率%回顾性研究
輸卵管造口術/方法%顯微外科手術%妊娠率%迴顧性研究
수란관조구술/방법%현미외과수술%임신솔%회고성연구
Salpingostomy/MT%Microsurgery%Pregnancy Rate%Retrospective Studies
【目的】探讨输卵管显微外科吻合术的疗效及相关影响因素。【方法】回顾性分析113例行输卵管显微外科吻合术患者的临床病历资料及随访记录，观察其复通、妊娠结局及相关因素影响下的妊娠情况。【结果】术后输卵管通畅率99．12％，2年内妊娠率87．61％，宫内妊娠率85．84％，分娩率83．19％；各结扎年限术后妊娠率差异无统计学意义（ P ＞0．05）。潘氏法结扎者术后妊娠率明显低于抽芯包埋法和银夹法；壶腹‐伞部结扎者术后妊娠率明显低于其他部位结扎者；术后输卵管长度5 cm以内者妊娠率明显低于5 cm以上者，差异均有统计学意义（ P ＜0．05）。【结论】输卵管显微外科吻合术可有效复通输卵管，术后宫内妊娠率、分娩率均优异；绝育时结扎方法、部位及术后输卵管长度是影响吻合术后妊娠率的主要因素。
【目的】探討輸卵管顯微外科吻閤術的療效及相關影響因素。【方法】迴顧性分析113例行輸卵管顯微外科吻閤術患者的臨床病歷資料及隨訪記錄，觀察其複通、妊娠結跼及相關因素影響下的妊娠情況。【結果】術後輸卵管通暢率99．12％，2年內妊娠率87．61％，宮內妊娠率85．84％，分娩率83．19％；各結扎年限術後妊娠率差異無統計學意義（ P ＞0．05）。潘氏法結扎者術後妊娠率明顯低于抽芯包埋法和銀夾法；壺腹‐傘部結扎者術後妊娠率明顯低于其他部位結扎者；術後輸卵管長度5 cm以內者妊娠率明顯低于5 cm以上者，差異均有統計學意義（ P ＜0．05）。【結論】輸卵管顯微外科吻閤術可有效複通輸卵管，術後宮內妊娠率、分娩率均優異；絕育時結扎方法、部位及術後輸卵管長度是影響吻閤術後妊娠率的主要因素。
【목적】탐토수란관현미외과문합술적료효급상관영향인소。【방법】회고성분석113례행수란관현미외과문합술환자적림상병력자료급수방기록，관찰기복통、임신결국급상관인소영향하적임신정황。【결과】술후수란관통창솔99．12％，2년내임신솔87．61％，궁내임신솔85．84％，분면솔83．19％；각결찰년한술후임신솔차이무통계학의의（ P ＞0．05）。반씨법결찰자술후임신솔명현저우추심포매법화은협법；호복‐산부결찰자술후임신솔명현저우기타부위결찰자；술후수란관장도5 cm이내자임신솔명현저우5 cm이상자，차이균유통계학의의（ P ＜0．05）。【결론】수란관현미외과문합술가유효복통수란관，술후궁내임신솔、분면솔균우이；절육시결찰방법、부위급술후수란관장도시영향문합술후임신솔적주요인소。
[Objective]To explore the efficacy and the related factors of microsurgical anastomosis of fallo‐pian tube .[Methods] Clinical data and visit records of 113 patients undergoing microsurgical anastomosis of fallopian tube were analyzed retrospectively .The recanalization of fallopian tube ,pregnancy outcome and the related factors of pregnancy were observed .[Results] The recanalization rate of fallopian tube after operation was 99 .12% ,and the pregnancy rate was 87 .61% ,and the intrauterine pregnancy rate was 85 .84% ,and the delivery rate was 83 .19% within 2 years .There was no significant difference in ligation years and pregnancy rate after operation ( P > 0 .05 ) . The postoperative pregnancy rate of patients undergoing ligation with Pomeroy method was obviously lower than that of patients undergoing ligation with silver clip method and Ir‐ving method .The postoperative pregnancy rate of patients undergoing ligation of isthmus and umbrella was obviously lower than that of patients undergoing ligation in other positions .The pregnancy rate of patients with the length of fallopian tube less than 5cm after operation was obviously lower than that of patients with the length of fallopian tube more than 5cm .There were significant differences( P <0 .05) .[Conclusion] Mi‐crosurgical anastomosis of fallopian tube can efficiently re‐canalize fallopian tube ,and has good intrauterine pregnancy rate and delivery rate after operation .The ligation method ,ligation position and fallopian tubal length at sterilization are the major factors influencing the postoperative pregnancy rate .
