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目的观察直视下输卵管吻合术对复孕的临床效果,探讨影响输卵管吻合术后妊娠的相关因素。方法回顾总结2007-2011年在本院行输卵管吻合术117例妇女的临床资料,随访研究受术者的年龄、绝育年限、术后输卵管的长度及吻合部位并进行分析。结果①36岁以下的受术者吻合术后复孕率较其它组高(P<0.01),提示受术者的年龄越大,其吻合术后的复孕率就越低;②6年以内结扎的受术者吻合术后,其复孕率较其它组高(P<0.01),提示绝育年限越长,复孕率越低;③吻合术后的输卵管保留长度<7cm者与其它组比较,妊娠率差异无统计学意义(P>0.01);④采取输卵管峡—峡部吻合者妊娠率高于壶一壶部吻合者(P<0.01)。结论输卵管吻合术后妊娠率与受术者年龄、绝育年限和吻合部位相关,尽早行输卵管吻合复通可明显提高妊娠率。
Objective To observe the clinical effect of tubal anastomosis under normal vision on pregnancy and explore the related factors that affect pregnancy after tubal anastomosis. Methods The clinical data of 117 women who underwent tubal anastomosis in our hospital from 2007 to 2011 were reviewed and summarized. The follow-up study was conducted according to the age of the patient, the length of sterilization, the length of the fallopian tubes and the anastomotic sites. Results ① The pregnancy rate of the patients under 36 years of anastomosis was significantly higher than that of the other groups (P <0.01), suggesting that the older the patients were, the lower the rate of pregnancy recovery after anastomosis. The ligation within 6 years After anastomosis, the pregnancy rate was higher than other groups (P <0.01), suggesting that the longer the period of sterilization, the lower the rate of pregnancy. The length of tubal retention after anastomosis was less than 7cm. Compared with other groups, pregnancy (P> 0.01) .④The pregnancy rate of tubal isthmus anastomosis was higher than that of pot-pot anastomosis (P <0.01). Conclusions The pregnancy rate after tubal anastomosis is related to the age of patients, the years of sterilization and anastomosis. As soon as possible, tubal anastomosis and recanalization can significantly improve the pregnancy rate.