绝育术后显微外科输卵管复通术的临床分析

目的探讨显微手术应用于输卵管复通中的临床效果,探索输卵管复通术后效果的影响因素。方法纳入我院2010年03月至2013年03月期间采用显微外科输卵管吻合治疗的输卵管绝育术后要求再生育患者77例作为研究对象,对年龄、BMI、结扎时间、围手术期的情况、术中情况、吻合成功率及术后妊娠情况等临床资料进行分析。结果所有手术均顺利完成。77例患者总计149条输卵管,吻合成功144条,总成功率为96.6%,各部位吻合成功率差异无统计学意义（P〉0.05）。术后宫内妊娠59例,流产3例,宫外妊娠1例。总宫内妊娠率为76.6%,宫外孕发生率为1.3%。37岁以下患者宫内妊娠率高于37岁以上组,差异有统计学意义（P〈0.05）。结论显微外科输卵管复通术安全有效,有广阔的应用空间。患者年龄是影响术后妊娠率的主要因素。

Clinical Analysis of Microsurgery for the Fallopian Tube Anastomosis after Ligation

Objective To discuss the clinical effection of microsurgery for the fallopian tube anastomosis after ligation, then summary the impact factors of postoviduct operation for pregnancy rate. Methods 77 cases which were treated by microsurgical fallopian tube anastomosis after tubal sterilization access as the study object, in our hospital duringMar. 2010 to Mar. 2013, with the age, BMI, ligation time, perioperative, intraoperative situation and consistent success rate and postoperative pregnancy clinical data for analysis. Results Each operation were performed successfully. A total of 77 patients, 149 of the fallopian tubes, consistent success in 144, the overall success rate was 96. 6%, there was no statistical significance for anastomosis success rate （ P 〉 0. 05 ）. during 59 cases of postoperative intrauterine pregnancy, spontaneous abortion for 3 cases, extrauterine pregnancy for 1 case. general intrauterine pregnancy rate was 76. 6%, the incidence of ectopic pregnancy was 1.3%. the patients less than 37 years old with intrauterine pregnancy rate is higher than 37 years old, there was statistical significance（P 〈 0.05 ）. Conclusion Microsurgical fallopian tube after ligation was safety and effective, and has be remarkable application. The age is the main factors affecting the pregnancy rate for postoperative.