输卵管复通术181例临床分析  

Study of Repregnancy After Anastomosis of Fallopian Tube

作　　者：李际春[1] 丁永慧[1] 潘丽华[1] 

机构地区：[1]宁夏医学院附属医院妇产科,银川750004

出　　处：《宁夏医学院学报》2005年第1期37-39,共3页Journal of Ningxia Medical College

摘　　要：目的探讨输卵管吻合术后妊娠率与妇女年龄、绝育方法、部位、吻合术后输卵管长度的关系。方法回顾性分析了1987年6月～2003年6月在我院实施输卵管吻合术181例妇女的妊娠情况。结果181例妇女,妊娠159例,其中异位妊娠2例,流产12例,妊娠率8785%。吻合术后1年内妊娠率8050%;银夹和抽芯包埋法绝育术后妊娠率较Pomeroy改良法者高;输卵管峡部吻合术后妊娠率最高;吻合术后双侧输卵管长度≥5cm者妊娠率(9067%)明显高于<5cm者(3750%)。结论输卵管吻合术的妊娠率与妇女绝育方法、部位、吻合术后输卵管长度密切相关。Objective To discuss the relation of repregnancy after fallopian tube anastomosis with patient age, the way of tubo-sterilization, anastomosis site and the length of fallopian tube after anastomosis. Methods During June 1986～June 2003,181 patients underwent anastomosis of fallopian tube and their clinical data were retrospectively analyzed. Results Out of 181 cases,159 were repregnant, among them ectopic gestation 2 cases, abortion 12 cases. The pregnancy rate was 80.50% in one year after anastomosis. The repregnancy rate was higher in patients who underwent tubo-sterilization by using silver nip or by taking out the core and using embedment techniques. The highest pregnancy rate showed in patients whose anastomosis was at fallopian tube isthmus portion. The repregnancy rate was higher if the length of both side fallopian tube were more than 5 cm. Conclusion The repregnancy rate after fallopian tube anastomosis is influenced by the way of sterilization operation, anastomosis location and the length of the preserved fallopian tube after anastomosis.

关 键 词：绝育 输卵管吻合术 妊娠率 

分 类 号：R711.6[医药卫生—妇产科学]