输卵管结扎术后输卵管吻合的疗效因素的分析

发布时间：2018-03-13 07:34

本文选题：输卵管结扎　切入点：术后输卵管吻合　出处：《实用妇科内分泌杂志(电子版)》2016年11期 　论文类型：期刊论文

【摘要】：目的分析输卵管结扎术后输卵管吻合的疗效影响因素。方法选取我站2008年1月~2013年1月进行输卵管吻合手术的输卵管结扎52例为研究对象,对研究对象的基本情况、术中情况、术后治疗情况、随访记录回顾性分析比较,对术后输卵管复通情况及宫内妊娠情况进行观察和分析。结果在这52例研究对象中有48例输卵管复通,复通的概率是92.31%,宫内妊娠的患者有40例,概率为86.96%,服务对象年龄、过去结扎的方式及吻合的部位等对输卵管吻合效果不显著,差异无统计学意义(P0.05),但是剩余输卵管的长度、输卵管壶腹部长度、以及输卵管是否存在炎症对妊娠概率具有一定的影响,差异有统计学意义(P0.05)。结论要提高受术者的输卵管复通率、宫内妊娠的概率,就要在如何保持输卵管正常功能上做文章。其复通率、妊娠概率主要受到输卵管结扎术时损伤长度、剩余输卵管长度、输卵管壶腹部长度、输卵管是否存在炎症、术后规范治疗等方面的影响,术后黄体酮周期治疗有利于提高复通率及宫内妊娠概率。
[Abstract]:Objective to analyze the influencing factors of fallopian tube anastomosis after tubal ligation. Methods 52 cases of fallopian tube ligation from January 2008 to January 2013 were selected as study objects. Postoperative treatment and follow-up records were retrospectively analyzed and compared. The recanalization of fallopian tube and intrauterine pregnancy were observed and analyzed. Results 48 cases of fallopian tube recanalization were performed in these 52 cases. The probability of recanalization was 92.31. There were 40 cases of intrauterine pregnancy, the probability was 86.96. The age of the object of service, the way of ligation in the past and the site of anastomosis, etc., had no significant effect on the anastomosis of the fallopian tube, but the length of the remaining fallopian tube was not significant (P 0.05), but the length of the remaining fallopian tube was not significant. The length of ampulla of fallopian tube and the presence of inflammation of tubal have certain influence on the probability of pregnancy, and the difference is statistically significant (P 0.05). Conclusion the rate of tubal recanalization and the probability of intrauterine pregnancy should be improved. How to maintain the normal function of the fallopian tube? its recanalization rate and pregnancy probability are mainly affected by the length of injury, the remaining length of the fallopian tube, the length of the ampulla of the fallopian tube, whether there is inflammation in the tubal, The effect of postoperative standardized treatment, postoperative progesterone cycle treatment is beneficial to improve the rate of recanalization and intrauterine pregnancy probability.
【作者单位】：陕西省镇安县计划生育服务站;
【分类号】：R713.53

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