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选择性输卵管造影及再通术后妊娠率的影响因素分析

Influence factors of pregnancy rate after selective salpingography and fallopian tube recanalization

  • 摘要: 目的:探讨输卵管阻塞患者行选择性输卵管造影(selective salpingography, SSG)及再通术后影响再妊娠的因素。方法:回顾分析于上海交通大学医学院附属国际和平妇幼保健院妇产科行SSG的输卵管阻塞患者75例,采用logistic回归分析评估患者术后再妊娠率的影响因素。结果:所有经SSG术后患者输卵管完全再通率为82.7%,术后1年妊娠率为46.7%。多因素logistic分析结果显示,不孕类型[OR=3.02,95%置信区间(CI)1.32~3.78,P<0.05]、不孕时长<3年(OR=5.11,95%CI 1.61~7.35,P<0.05)以及年龄<35岁(OR=3.43,95%CI 1.87~6.64,P<0.05)与患者再妊娠密切相关。结论:SSG及输卵管再通术后妊娠与患者不孕类型、不孕时长及年龄有关,继发性不孕、不孕时长<3年、年龄<35岁的患者再妊娠率更高。

     

    Abstract: Objective:To investigate the factors affecting pregnancy rate in patients with fallopian tube obstruction after selective salpingography (SSG) and fallopian tube recanalization. Methods:A retrospective study was conducted for 75 women who underwent SSG in the Department of Obstetrics and Gynecology, International Peace Maternal and Child Health Hospital, Shanghai Jiao Tong University School of Medicine. Logistic regression analysis was used to evaluate the influence factors of postoperative pregnancy rate in patients. Results:Technical success rate of all patients underwent SSG was 82.67%. Within one year after SSG and recanalization, 46.7% of women had conceived. Multivariable analysis showed that the infertility type (OR=3.02, 95%CI 1.32-3.78, P<0.05), duration of infertility<3 years (OR=5.11, 95%CI 1.61-7.35, P<0.05), and age<35 years (OR=3.43, 95%CI 1.87-6.64, P<0.05) were significantly associated with repregnancy rate. Conclusions:Factors including the infertility type, duration of infertility, and age might be associated with the pregnancy after fallopian tube recanalization in patients with fallopian tube obstruction, patients with secondary infertility, duration of infertility<3 years, and age<35 years might have higher pregnancy rate.

     

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