摘要
One thousand and twenty-nine women with microsurgical tubal reversal after tubal sterilization were followed up.The rate of intrauterine pregnancy was found to be 93.29%.The rate of intrauterine pregnancy was the highest(73.28%)in the first year after tubal reversal.In the first year,the chance of pregnancy in the first 6 months was higher (54.81%)than that(40.86%)in the second 6 months(P<0.01),and the chance in the first 3 months was higher(37.41%)than that(27.80%)in the second 3 months(P<0.01).The rates of ectopic pregnancy after tubal reversal in various stages were not significantly different(P>0.05).The rate of intrauterine pregnancy was not related with the period from sterilization to tubal reversal.Early postoperative hydropertubation can only decrease the rate of intrauterine pregnancy.The rate of intra uterine pregnancy of the tubal reversal after Uchida's method and clips tubal sterilization was higher than that after Pomeroy's tubal ligation.The reanastomosis of isthmus and isthmus resulted in the highest rate of intra uterine pregnancy,so we think that Uchida's or elips tubal sterilization in the isthmus of the tubal are ideal and reversible techniques at present.
One thousand and twenty-nine women with microsurgical tubal reversal after tubal sterilization were followed up.The rate of intrauterine pregnancy was found to be 93.29%.The rate of intrauterine pregnancy was the highest(73.28%)in the first year after tubal reversal.In the first year,the chance of pregnancy in the first 6 months was higher (54.81%)than that(40.86%)in the second 6 months(P<0.01),and the chance in the first 3 months was higher(37.41%)than that(27.80%)in the second 3 months(P<0.01).The rates of ectopic pregnancy after tubal reversal in various stages were not significantly different(P>0.05).The rate of intrauterine pregnancy was not related with the period from sterilization to tubal reversal.Early postoperative hydropertubation can only decrease the rate of intrauterine pregnancy.The rate of intra uterine pregnancy of the tubal reversal after Uchida's method and clips tubal sterilization was higher than that after Pomeroy's tubal ligation.The reanastomosis of isthmus and isthmus resulted in the highest rate of intra uterine pregnancy,so we think that Uchida's or elips tubal sterilization in the isthmus of the tubal are ideal and reversible techniques at present.
