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对38例经子宫输卵管碘油造影和(或)腹腔镜检查,诊断为一侧或双侧输卵管近端闭塞,或同时合并有盆腔其它病变的不孕症妇女,采用改良的输卵管子宫角植入术。术后随访29例,24例列入统计,输卵管通畅率为95.83%;宫内妊娠9例,占37.50%;而盆腔无合并其它病变或仅有盆腔轻度性粘连者,术后宫内妊娠率可达60%;未有异位妊娠发生。此外,作者对影响术后宫内妊娠率的诸因素(年龄、不孕年限、盆腔病变程度等)作了分析。结果表明,改良输卵管子宫角植入术对近端输卵管闭塞性不孕症有较好的疗效,是一种较理想的方法。
38 cases of hysterosalpingography and / or laparoscopy, diagnosis of proximal tubal unilateral or bilateral occlusion, or combined with other pelvic lesions infertility women, the use of modified oviduct uterine horn implantation Surgery. Postoperative follow-up in 29 cases, 24 cases included in the statistics, tubal patency rate was 95.83%; intrauterine pregnancy in 9 cases, accounting for 37.50%; and pelvic without other lesions or only mild pelvic adhesions Hysterectomy pregnancy rate of up to 60%; no ectopic pregnancy occurred. In addition, the authors analyzed the factors influencing intrauterine pregnancy rate (age, age of infertility, extent of pelvic lesions, etc.). The results show that the modified tubal uterine horn implantation of proximal tubal obstruction infertility have a better effect, is a more ideal method.