输卵管积水性不孕症的临床研究

目的:探讨不孕症患者合并输卵管积水的临床特点和妊娠结局。方法:回顾性分析149例输卵管积水不孕症患者(积水组)和532例单纯输卵管阻塞不孕症患者(单纯阻塞组)的临床资料。结果:经标准输卵管通液术后,积水组累积自然受孕率、宫内妊娠率、自然流产率和异位妊娠率分别为24.8%、86.5%、13.5%和0%,平均获孕时间为治疗后4.5±4.2个月;单纯阻塞组累积自然受孕率、宫内妊娠率、自然流产率和异位妊娠率分别为24.1%、85.9%、9.4%和7.0%,平均获得妊娠时间为治疗后4.6±3.7个月;组间各项指标均无统计学差异(P>0.05)。91.9%的患者输卵管积水≤3 cm,积水>3 cm的患者仅有1例自然受孕;单侧输卵管积水的患者占90.6%,双侧输卵管积水患者无1例自然受孕。结论:与单纯输卵管阻塞的不孕症患者相比,输卵管积水患者经治疗后也能获得较为理想的妊娠结局。不孕妇女输卵管积水具有以下特点:以≤3 cm和单侧积水为主,当积水>3 cm或出现双侧积水时,患者基本不能自然受孕。

Clinical Characteristics of Hydrosalpinx Infertility Women

Objective:To explore the clinical characteristics and pregnancy outcome of hydrosalpinx in infertile women.Methods:A total of 149 infertile women with hydrosalpinx (group A) and 532 infertile women suffering from simple tubal obstruction (group B) were retrospecctively analyzed.Results:The cumulative spontaneous pregnancy rate,intrauterine pregnancy rate,spontaneous abortion rate and ectopic pregnancy rate in group A were 24.8%,86.5%,13.5% and 0%,respectively,and the average duration from treatment until pr...