输卵管性不孕症患者盆腔粘连对输卵管再通的影响

Influence of pelvic pathologic adhesion on catheter recanalization in patients with oviductive infertility

目的探讨对输卵管性不孕症患者不盆腔粘连输卵管再通术的影响。方法将130例输卵管性不孕症患者根据盆腔粘连情况分为盆腔粘连组（92例）与未粘连组（38例），所有患者均接受输卵管再通术，分析两组患者输卵管再通疗效及远期随访情况。结果盆腔粘连组通畅率为87．1％，未粘连组为96．4％，盆腔粘连组显著低于未粘连组（P〈0．05）；术后1a异位妊娠率显著高于未粘连组（P〈0．05）。结论输卵管性不孕症患者盆腔粘连的发生可降低输卵管再通率，增加输卵管再阻塞、异位妊娠的风险，临床应给予重视并及时予以干预。

Objective To investigate the influence of pelvic pathologic adhesion on catheter recanalization in patients with oviductive infertility. Methods 130 cases With oviductive infertility were selected and divided into pelvic pathologic adhesion group （92 cases） and non adhesion group （38 cases）, they were all given catheter recanalization, curative effect and longterm follow-up condition of the two groups were analyzed. Results Patency rate of pelvic pathologic adhesion group （87. 1%） was obviously lower than non adhesion group （96.4%） （P〈0. 05） ; ectopic pregnancy rate 1 a after surgery was significantly higher than non adhesion group （P〈0. 05）. Conclusion Occurrenee of pelvic pathologic adhesion in patients with oviductive infertility may lower oviduct recanalization rate, increase risk of salpingemphraxis and ectopic gestation, attention and intervention should be given in clinic.