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目的探讨显微输卵管吻合术影响妊娠率的相关因素。方法内江市妇幼保健院2007～2010年共实施显微输卵管吻合术138例,对其中116例完成了随访。术中采用显微输卵管吻合,放大4～6倍,0/8显微线缝合肌层、浆膜层各4针,术中近端阻塞用cook导丝疏通,吻合成功后将防粘剂——欣可聆注入管腔,术后无需通液。结果输卵管复通率100.00%,双侧输卵管通畅率95.69%,妊娠率90.52%。术后妊娠率与结扎部位无显著关系(P>0.05),复通时年龄与术后妊娠率有显著关系(P<0.05),术后输卵管长度<6cm时妊娠率仅20.00%。结论结扎部位对妊娠无明显影响,术中使用防粘剂,术后无需通液。年龄≥40岁或输卵管长度<6cm,妊娠率明显下降。
Objective To investigate the related factors of microscopic tubal anastomosis affecting pregnancy rate. Methods A total of 138 cases of tubal anastomosis were performed in Neijiang MCH from 2007 to 2010, of which 116 cases were followed up. Intraoperative use of microscopic fallopian tube anastomosis, magnification 4 to 6 times, 0/8 microscopic suture myometrial, serosa layer of 4 needles, intraoperative proximal obstruction using the cook guide wire to clear, after the success of the anti-adhesion agent - - Welcome to listen into the lumen, no need to pass fluid after surgery. Results The tubal recanalization rate was 100.00%, bilateral tubal patency rate was 95.69% and pregnancy rate was 90.52%. The postoperative pregnancy rate had no significant relationship with the ligation site (P> 0.05). The age at the time of recovery was significantly related to the postoperative pregnancy rate (P <0.05). The pregnancy rate was only 20.00% after the tubal length was less than 6cm. Conclusion Ligation site had no significant effect on pregnancy, intraoperative use of anti-adhesive, postoperative without fluid. Age ≥ 40 years or fallopian tube length <6cm, the pregnancy rate decreased significantly.