摘要
目的评价腹腔镜输卵管吻合术的输卵管通畅率及妊娠结局。方法对32位输卵管堵塞的患者行腹腔镜下显微输卵管吻合术并统计妊娠率(PR),以及影响妊娠结局的因素。结果32例中,术后通畅率为90.2%(55/61),术后宫内妊娠率为50.0%(16/32),无1例宫外孕发生。累积妊娠率,术后6个月为15.6%,12个月为43.8%,18个月为50.0%。96%的妊娠发生在术后一年内。峡部～峡部吻合妊娠率(55.0%)高于壶腹部～壶腹部妊娠率(41.7%)但无统计学差异。大于40岁患者妊娠率为(0/3),小于40岁患者妊娠率为55.2%(16/29)。结论腹腔镜输卵管吻合术具有较高成功率,是输卵管堵塞患者的一个较好的治疗选择。
Objective To evaluate the pregnancy rate and tubal patent rate after laparoscopic tubal anasto- mosis. Methods Laparoscopic tubal anastomosis was performed on thirty^two women who desired reversal of tubal occlusion. Calculate the cumulative pregnancy rate （PR） and investigate factors that influenced the pregnancy outcome. Results The tubal patent rate after operation is 90.2 % （55/61）, the intrauterine PR was 50.0% （16/ 32）, without ectopic pregnancies. The cumulative PR in the 32 patients for whom follow- up data were available was 15.6%, 43.8%, and 50.0% at 6, 12, and 18 months after operation, respectively. 96% intrauterine pregnancy occurred during the first year after the operation . The intrauterine PR for isthmic - isthmic anastomosis （55.0%） was higher than that for ampullar - ampullar anastomosis （41.7%）, but there was no significant difference. The PR decreased with the patients＇ age, it was 0 （0/3） in the patients older than 40 years and 55.2 （16/29） in the patients younger than 40 years. Conclusions Laparoscopic tubal anastomosis is a highly successful procedure with a shorter recovery time . It could be considered a better choice in patients who desire reversal of tubal occlusion.
出处
《中国妇产科临床杂志》
2007年第4期252-255,共4页
Chinese Journal of Clinical Obstetrics and Gynecology
关键词
腹腔镜
输卵管吻合术
绝育术
显微外科
绝育术后再通
laparoscopy
tubal anastomosis
sterilization
microsurgery
reversal after sterilization
