输卵管形态及功能评估在输卵管性不孕中的相关研究

Research on the Correlation of Fallopian Tube Form and Function with Oviduct Infertility

目的:探讨输卵管形态和功能评估与输卵管性不孕症的关系。方法:选择2012年1月-2015年12月在吴川市妇幼保健院就诊的输卵管性不孕症患者2880例作为研究对象,所有患者均进行输卵管碘油造影(HSG)检查,其中360例患者行腹腔镜检查。对所有患者进行12~18个月随访,观察患者妊娠情况。结果:随访2880例患者12~18个月,其中成功宫内妊娠962例,占33.4%;不孕1918例,占66.6%。不孕组、妊娠组患者初次性生活年龄、盆腔感染病史、妊娠史、宫内节育器使用史、STD、输卵管形态以及输卵管功能均是输卵管性不孕患者不孕的影响因素(P<0.05)。输卵管形态包括截距、成角、扭曲、纤细、盘曲以及僵硬,其中除截距为保护因素外,其余因素均为危险因素,与预后相关。输卵管功能包括正常、轻度损伤、中度损伤、重度损伤以及丧失,其中除正常为保护因素外,其余因素均为危险因素,与预后相关。结论:输卵管性不孕症患者术后预后的影响因素较多,与患者术前影响因素有关,其中输卵管形态和输卵管功能是影响患者预后的重要因素,不同因素与预后的关系为临床诊治提供了一定借鉴。

Objective： To understand the correlation of fallopian tube form and function with oviduct infertility.Method： The clinical data of 2880 patients with oviduct infertility treated in Wuchuan Maternal and Child Health hospital from January 2012 to December 2015 were reviewed.HSG examination was available, 360 patients received the laparoscopic examination.After 12-18 months of follow-up visits, the pregnancy condition was observed.The patients were divided into pregnant group and infertile group.Through Logistic regression equation, the influence factors of the patient＇s pregnancy outcomes were analyzed.The correlation of fallopian tube form and function with oviduct infertility was analyzed.Result： During 12-18 months of follow-up visits, there were 962 cases （ 33.4% ） successful cases of uterine pregnancy, and 1918 cases （66.6%） infertile cases.The patient＇s age, infertility time, age of having the initial sexual life, history of pelvic cavity infection, pregnancy history, usage history of intrauterine device, STD, fallopian tube form and function for infertile group and pregnant group were significantly different （P〈0.05） .According to Logistic regression equation, it was found that the influence factors of infertility included the patient＇s age, infertility time, age of having the initial sexual life, history of pelvic cavity infection, pregnancy history, usage history of intrauterine device, STD, fallopian tube form and function.The fallopian tube form included the intercept, angular, slim, bending and stiff form.Except for the protective factors of intercept form, the other factors were risky.It was correlated with the patient＇s prognosis.The fallopian tube function included normal function, mild damage, moderate damage, severe damage and loss.Except for the normal function, the other factors were risky, it was correlated with the patient＇s prognosis.Conclusion： For patients with oviduct infertility, there are mauy influence factors before and after surgery.The important factors of the patient＇s prognosis are the patient＇s fallopian tube form and function.The correlation of different influence factors with the patient＇s prognosis provides a certain reference in the clinical treatment.