2种输卵管复通术式的临床分析

目的观察输卵管端端吻合术和输卵管宫角植入术2种复通术式的临床效果,对输卵管绝育术后复通的最佳手术方式选择进行探讨。方法回顾性分析2007年1月至2011年1月我院产科收治的82例输卵管绝育术后要求复通患者的临床资料,分为A、B2组,观察比较2组输卵管复通术式与输卵管复通及妊娠等。结果 A组输卵管端端吻合术后的输卵管复通率与妊娠率远远高于宫角植入术B组,2组比较差异具有显著性(P<0.05)。结论输卵管复通术以输卵管端端吻合术为首选,输卵管宫角植入术亦可作为补充的一种术式。

To observe the fallopian tube anastomosis and cornual implantation of fallopian tube recanalization surgery type two kinds of clinical effect,after tubal sterilization reversal of the optimal operation mode is discussed. Methods A retrospective analysis in 2007 January to 2011 January,82 cases of tubal sterilization requirement after recanalization in patients with the clinical data,A,B divided into two groups,two groups were compared for tubal reversal and fallopian tube recanalization and pregnancy.Results In A group of fallopian tube after end to end anastomosis of fallopian tube recanalizatiou rate and pregnancy rate is much higher than that of cornual implantation group B,the difference between the two groups was significant（P〈0.05）. Conclusion tubal reanastomosis fallopian tube anastomosis with preferred,tubal cornual implantation can also be used as a complement of a procedure.