输卵管梗阻性不孕症患者行输卵管介入再通术后妊娠情况及影响因素  

Pregnant situation of women with tubal obstructive infertility after fallopian tube interventional recanalization and its influence factors

作　　者：蒋婷 张增强 JIANG Ting;ZHANG Zengqiang(Lishui Central Hospital,Lishui,Zhejiang Province,323000)

机构地区：[1]浙江省丽水市中心医院,323000

出　　处：《中国计划生育学杂志》2024年第2期401-404,411,共5页Chinese Journal of Family Planning

摘　　要：目的:探究输卵管梗阻性不孕症患者行输卵管介入再通术后妊娠情况的影响因素。方法:收集2020年6月-2022年2月本院164例行输卵管介入再通术的输卵管梗阻性不孕症患者临床资料,统计术后1年自然妊娠率。采用多因素logistic回归分析确定行输卵管介入再通术后自然妊娠的影响因素。结果:术后排除失访病例,纳入研究的155例患者术后1年自然妊娠74例,占比47.7%。多因素logistic回归分析显示,年龄≥35岁(OR=2.41,95%CI 1.20~4.85)、不孕类型为原发性不孕(OR=2.79,95%CI1.38~5.62)、不孕年限>5年(OR=2.19,95%CI1.17~4.08)、输卵管梗阻部位为远端(OR=3.10,95%CI1.36~7.06)、有盆腔手术史(OR=3.87,95%CI1.83~8.19)、术中盆腔造影剂弥散不均匀(OR=2.75,95%CI1.30~5.79)均为术后未自然妊娠独立危险因素(P<0.05)。结论:输卵管梗阻性不孕症患者行输卵管介入再通术后自然妊娠影响因素多样,继发性不孕、不孕年限短、输卵管近端梗阻、无盆腔手术史的年轻患者更适用于行输卵管介入再通术。Objective:To explore the influencing factors of the pregnant outcomes of women with tubal obstructive in fertility after fallopian tube interventional recanalization.Methods:The clinical data of 164 women with tubal obstruc-tive infertility who underwent fallopian tube interventional recanalization from June 2020 to February 2022 were collected.The natural pregnancy rate of the women within 1 year after surgery was calculated.Multivariate logistic regression analysis was used to identify the factors influencing the natural pregnancy of the women after fallopian tube interven-tional recanalization.Results:The cases lost to follow-up after operations were excluded,and 155 patients were includ-ed in the study finally.There were 74 women with natural pregnancies within 1 year after surgery,accounting for 47.7%.Multivariate logistic regression analysis showed that the age≥35 years old(OR=2.41,95%CI 1.20-4.85),the primary infertility(OR=2.79,95%CI=1.38-5.62),the infertility duration>5 years(OR=2.19,95%CI 1.17-4.08),the distal tubal obstruction(OR=3.10,95%CI 1.36-7.06),the history of pelvic surgery(OR=3.87,95%CI 1.83-8.19),and the uneven intraoperative pelvic diffusion(OR=2.75,95%CI 1.30-5.79)of the women were the inde-pendent risk factors affecting their natural pregnancy after surgery(P<0.05).Conclusion:There are various factors affecting the natural pregnancy of the women with tubal obstructive infertility after fallopian tube interventional reca-nalization.The young patients with secondary infertility,shorter infertility duration,proximal tubal obstruction,or no history of pelvic surgery are more suitable for the fallopian tube interventional recanalization.

关 键 词：输卵管梗阻性不孕症 输卵管介入再通术 自然妊娠 影响因素 

分 类 号：R711.6[医药卫生—妇产科学]