[1]区曼 蒋凤艳*.宫、腹腔镜输卵管吻合术后妊娠影响因素分析[J].中国微创外科杂志,2020,01(2):97-99.
 Ou Man,Jiang Fengyan..Analysis on Influencing Factors of Pregnancy After Hysteroscopic and Laparoscopic Tubal Anastomosis[J].Chinese Journal of Minimally Invasive Surgery,2020,01(2):97-99.
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宫、腹腔镜输卵管吻合术后妊娠影响因素分析()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
01
期数:
2020年2期
页码:
97-99
栏目:
临床论著
出版日期:
2020-02-28

文章信息/Info

Title:
Analysis on Influencing Factors of Pregnancy After Hysteroscopic and Laparoscopic Tubal Anastomosis
作者:
区曼 蒋凤艳*
(广西医科大学第一附属医院妇产科,南宁530021)
Author(s):
Ou Man Jiang Fengyan.
Department of Obstetrics and Gynecology, First Affiliated Hospital of Guangxi Medical University, Nanning 530021, China
关键词:
输卵管吻合术妊娠影响因素
Keywords:
Tubal anastomosisPregnancyInfluencing factor
文献标志码:
A
摘要:
目的探讨影响宫、腹腔镜输卵管吻合术后妊娠的因素。方法回顾性分析我院2014年1月~2018年1月82例输卵管结扎者行宫、腹腔镜输卵管吻合术后持续备孕至少1年的妊娠情况。分析年龄、绝育时间、术后输卵管长度、吻合部位、复旦输卵管评分与术后妊娠的相关性。结果年龄、复旦输卵管评分、术后输卵管长度是术后妊娠的预后因素。年龄每增加1岁,妊娠风险增加1.337倍;复旦输卵管评分每增加1分,妊娠风险增加1.376倍;术后输卵管长度每增加1 cm,妊娠风险增加0.657倍。结论年龄越大、复旦输卵管评分越高,输卵管吻合术后妊娠率越低;吻合后保留的输卵管越长,输卵管吻合术后妊娠率越高。
Abstract:
ObjectiveTo explore the factors influencing pregnancy after hysteroscopic and laparoscopic tubal anastomosis.MethodsA total of 82 women with tubal ligation underwent hysteroscopic and laparoscopic tubal anastomosis from January 2014 to January 2018, with at least one year of continuous pregnancy preparation. The correlation of age, sterilization time, postoperative tubal length, anastomotic site, Fudan fallopian tube score and postoperative pregnancy were analyzed.ResultsThe age, Fudan fallopian tubal score and postoperative tubal length were prognostic factors of postoperative pregnancy. The risk of pregnancy was increased by 1337 times for each year of age. The risk of pregnancy was increased by 1.376 times for every increase of Fudan fallopian tube score and 0.657 times for every increase of 1 cm of tube length after operation.ConclusionThe older the age and the higher the Fudan fallopian tube score, the lower the pregnancy rate after salpingostomy; the longer the retained tubal length after anastomosis, the higher the pregnancy rate after salpingostomy.

参考文献/References:

[1]Deffieux X,Morin Surroca M,Faivre E,et al.Tubal anastomosis after tubal sterilization:a review.Arch Gynecol Obstet,2011,283(5):1149-1158.
[2]Berger GS,Thorp JM Jr,Weaver MA.Effectiveness of bilateral tubotubal anastomosis in a large outpatient population.Hum Reprod,2016,31(5):1120-1125.
[3]van Seeters J,Chua SJ,Mol B,et al.Tubal anastomosis after previous sterilization:a systematic review.Hum Reprod Update,2017,23(3):358-370.
[4]柯伊玲,邹世恩,朱瑾.输卵管评分在输卵管性不孕症的应用.生殖与避孕,2014,34(8):657-663.
[5]余锦芬,谢芳,孟龙.宫腹联合输卵管吻合对输卵管绝育术后患者性生活质量及妊娠情况的影响.中国性科学,2018,27(5):74-77.
[6]Karayalcin R,Ozcan S,Tokmak A,et al.Pregnancy outcome of laparoscopic tubal reanastomosis:retrospective results from a single clinical centre.J Int Med Res,2017,45(3):1245-1252.
[7]American College of Obstetricians and Gynecologists Committee on Gynecologic Practice and Practice Committee.Female agerelated fertility decline.Committee Opinion No.589.Fertil Steril,2014,101(3):633-634.
[8]Feng Y,Zhao H,Xu H,et al.Analysis of pregnancy outcome after anastomosis of oviduct and its influencing factors.BMC Pregnancy Childbirth,2019,19(1):393.
[9]林小娜,黄国宁,孙海翔,等.输卵管性不孕诊治的中国专家共识.生殖医学杂志,2018,27(11):1048-1056.
[10]Practice Committee of the American Society for Reproductive Medicine.Role of tubal surgery in the era of assisted reproductive technology:a committee opinion.Fertil Steril,2015,103(6):e37-e43.
[11]张桂元,蔡名金,魏慧慧,等.子宫输卵管造影不同征象在盆腔粘连性不孕诊断中的价值.中国微创外科杂志,2018,18(8):711-714.

备注/Memo

备注/Memo:
*通讯作者,Email:625107330@qq.com
更新日期/Last Update: 2020-05-16