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目的:探讨124例绝育术后妇女行改良输卵管吻合术术后妊娠情况及其影响因素。方法:选择年龄为26~43岁绝育术后妇女124例行改良输卵管吻合术。结果:经过术后1~6年随访,124例中7例输卵管再次阻塞,102例妊娠,复通率达94.35%,复孕率达82.25%。结论:改良输卵管吻合手术方法、吻合管腔的对合、避免系膜内血管损伤、防止术后粘连及配合腔镜治疗是提高术后妊娠率的关键。
Objective: To investigate the pregnancy status and its influencing factors of 124 cases of postoperative tubal anastomosis after sterilization. Methods: 124 aged women aged 26-43 years who underwent sterilization were treated with modified tubal anastomosis. Results: After 1 to 6 years of follow-up, 7 cases of tubal obstruction occured again in 124 cases. 102 cases of pregnancy were complicated with recurrence rate of 94.35% and pregnancy rate of 82.25%. Conclusion: The key to improve postoperative pregnancy rate is to improve the method of tubal anastomosis, to match the anastomosis of the lumen, to avoid the injury of mesangial blood vessels, to prevent postoperative adhesion and to cooperate with endoscopy.