输卵管病变程度与复通术后妊娠率关系的临床研究

Clinical Study of Relationship Between Degree of Salpingitis and Pregnancy Rate after Operation

目的:通过对240例继发不孕患者手术中观察不同病变程度的输卵管在手术复通后妊娠率的不同,探讨输卵管病变程度与输卵管复通术后妊娠率的关系。方法:分析2005年9月到2006年12月在我所进行输卵管复通术的240例患者(其中输卵管柔软者126例,输卵管增粗僵硬者114例)术后1年妊娠情况。结果:输卵管柔软组术后1年的妊娠率是34.9%,输卵管增粗僵硬组术后1年的妊娠率是8.8%,P<0.01,有显著性差异。结论:对于继发不孕的患者,如果不孕原因是输卵管阻塞,则输卵管柔软的术后妊娠率高于输卵管增粗僵硬者,前者的手术价值比后者大。

Objective ：To investigate the relationship between the pregnancy rate after operation and the degree of salpingitis by analyse the different pregnancy rate of 240 secondary infertility patients whose salpingiti ＇ s degree was different. Methods： To analyse the pregnancy state of the 240 patients with ruble infertility after laparoscopic surgery one year later. The 240 patients were consisted of 126 persons with soft salpinx and 114 with hard - shelled salpinx. Results：The pregneny rate of soft salpinx group after laparoscopic surgery one year later was 34.9% ,the other group＇ s was 8.8% （ P 〈0.01 ）. Conclusion：The pregnancy rate of soft salpinx is higher than the hard - shelled salpinx, if the salpinx obstruction is the only cause for the secondary infertility.