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目的:探讨腹腔镜下输卵管复通术的影响因素。方法:回顾性分析2004年至2010年珠海市妇幼保健院收治的28例行腹腔镜下输卵管复通术患者的临床资料,观察患者年龄、输卵管长度、结扎部位、输卵管周围情况、复通术后输卵管长度及术后妊娠情况。结果:宫内妊娠26例、输卵管妊娠1例、随访5年未受孕1例:术后输卵管长度5~13 cm 27例、<5 cm 1例;输卵管结扎部位以峡部最多,其次为壶腹部、壶腹-峡部,不同结扎部位患者的宫内妊娠率比较,差异有统计学意义(P<0.05);各年龄组患者宫内妊娠率比较,差异无统计学意义(P>0.05);输卵管合并炎症与未合并炎症患者宫内妊娠率比较,差异有统计学意义(P<0.05)。结论:腹腔镜下输卵管复通术后妊娠的影响因素较多,应尽量保留输卵管长度、将不同部位输卵管对合整齐、术后做好防感染等辅助治疗以提高复通效果。
Objective: To explore the influencing factors of laparoscopic tubal recanalization. Methods: The clinical data of 28 patients undergoing laparoscopic tubal recanalization admitted from Zhuhai MCH hospital between 2004 and 2010 were retrospectively analyzed. The age, tubal length, ligation site, fallopian tube circumference, Tubal length and postoperative pregnancy. Results: Intrauterine pregnancy in 26 cases, tubal pregnancy in 1 case, followed up for 5 years without pregnancy in 1 case: postoperative tubal length 5 ~ 13 cm 27 cases, <5 cm in 1 case; tubal ligation to isthmus, followed by ampulla, The intrauterine pregnancy rates in ampulla-isthmus and different ligation sites were significantly different (P <0.05). There was no significant difference in intrauterine pregnancy rate among all age groups (P> 0.05) The intrauterine pregnancy rate of inflamed and non-inflamed patients was significantly different (P <0.05). Conclusions: There are many influencing factors of pregnancy after laparoscopic tubal recanalization, and tubal length should be reserved as far as possible. Tubal neoplasms in different parts should be neatly arranged together with postoperative anti-infection and other adjuvant therapy so as to improve the effect of recanalization.