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我们随访1982年4月至1993年6月在我院行显微输卵管复通手术后的1029例妇女,发现宫内妊娠率为93.29%(960/1029),术后第一年受孕率最高,为73.78%(754/1029);术后第一年内前6个月受孕率54.81%(564/1029)明显高于后6个月者40.86%(90/465);前6个月内的前3个月受孕率37.41%(385/1029)又明显高于后3个月27.80%(179/644)。术后各时期宫外孕的发生率均无明显差别;宫内妊娠率与绝育至复通的时间无关;术后的早期通液反而降低宫内妊娠率;抽芯包埋法及夹绝育后复通的宫内妊娠率较高;输卵管峡部吻合后宫内妊娠率最高。因此,我们认为输卵管峡部的抽芯包埋法或夹绝育在目前不失为一种理想的可逆性绝育方法。
We followed 1029 women who underwent microscopic tubal recanalization between April 1982 and June 1993 in our hospital and found that the intrauterine pregnancy rate was 93.29% (960/1029). The pregnancy rate in the first year after operation The highest conception rate was 73.78% (754/1029). The conception rate in the first 6 months after operation was 54.81% (564/1029), significantly higher than that in the latter 6 months (40.86%, 90/465) The first 3 months in the first 6 months of pregnancy rate was 37.41% (385/1029) and significantly higher than the latter 3 months 27.80% (179/644). The incidence of ectopic pregnancy was not significantly different at any time after surgery. The intrauterine pregnancy rate was not related to the time of sterilization to the recurrence rate. Early postoperative fluid infusion reduced the intrauterine pregnancy rate. Intrauterine pregnancy rate higher; tubal isthmus anastomosis after intrauterine pregnancy rate is highest. Therefore, we believe that the fallopian tube isthmus entrapment or folder sterilization is an ideal reversible sterilization method.