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目的 :观察显微外科技术对输卵管阻塞性不孕的治疗效果及影响因素。方法 :应用显微技术对 6 4例输卵管阻塞的不孕患者进行手术治疗并随访。结果 :成功 5 1例 ,成功率 79.7% ;失败 13例 ,失败率 2 0 .3% ,术后妊娠 2 9例 ,妊娠率 5 6 .9%。输卵管阻塞部位及卵巢严重粘连是影响手术成败的主要原因 ,术前不孕时间、输卵管壁厚度及管内膜纤毛细胞损伤程度也是影响术后妊娠率的重要因素。结论 :应用显微技术治疗输卵管阻塞性不孕症疗效肯定 ,但适应症应选择适当
Objective: To observe the effect and influencing factors of microsurgical technique on tubal infertility. Methods: Sixty-four infertility patients with tubal obstruction were surgically treated and followed up by microscopy. Results: Successful 51 cases, the success rate of 79.7%; failure in 13 cases, the failure rate of 20.3%, 29 cases of postoperative pregnancy, pregnancy rate of 5.69%. Tubal occlusion sites and severe ovarian adhesion is the main reason for the success or failure of surgery. The time of preoperative infertility, the thickness of the fallopian tube wall and the degree of damage of the intima of ciliated cells also play an important role in the postoperative pregnancy rate. Conclusion: The application of microscopy in the treatment of tubal obstruction infertility effect is valid, but indications should be selected appropriate