输卵管远端梗阻腹腔镜术后妊娠率与输卵管伞端形态关系分析

Analysis of relationship between pregnancy rate and tubal fimbria morphological integrity after laparoscopic surgery of distal tubal obstruction

目的探讨输卵管远端梗阻腹腔镜术后妊娠率与输卵管伞端形态的关系。方法对输卵管远端梗阻腹腔镜术后患者中输卵管伞端形态完整50例和变形50例进行妊娠率和自然妊娠时间比较。结果输卵管伞端形态完整组术后妊娠率为42%(21/50),高于输卵管伞端形态变形组的6%(3/50),差异有统计学意义(P<0.01);两组术后1年内自然怀孕者23例,1年后怀孕1例。结论输卵管伞端形态完整性是影响术后妊娠率的关键,术后1年内为腹腔镜术后自然怀孕最佳时机。

Objective To explore the relationship of pregnancy rate and form of tubal fimbria end after lapa- roscopie surgery of the distal tubal obstruction. Methods The pregnancy rate and natural pregnancy time between 50 cases with integral tubal fimbria and 50 cases of deformative tubal fimbria after laparoscopic surgery of distal tubal ob- struction were compared. Results The postoperative pregnancy rate in tubal distal morphological integrity group （42%） was higher than that in tubal fimbria form deformation group（6% ）, the difference was statistically significant between two groups （P 〈0. 01 ） ; Most of the natural pregnancy （23 cases） were formd within 1 year after the opera- tion, only 1 case was formd more than 1 year after opration. Conclusion Tubal fimbria morphological integrity is the key factor to woman pregnancy, the first postoperative year is the best time for natural pregnancy.