【摘要】 目的探讨影响宫腔镜下输卵管插管通液术治疗输卵管性不孕疗效的因素。方法对我院2007年4月～2008年12月129例输卵管性不孕妇女行宫腔镜下输卵管插管通液术,统计输卵管通畅情况,随访术后12个月内的妊娠率,并进行影响因素分析。结果 258条输卵管经插管通液后76%(197条)为输卵管通畅,共98例,随访12个月,妊娠49例(50%,49/98)。对影响预后的各种可能因素进行单因素分析,结果显示盆腔炎史、输卵管柔软度、通畅度3项因素差异有显著性(P<0.05),提示可能为影响结局的高危因素。将单因素分析有统计学意义的变量引入做非条件logistic多因素分析,结果显示不利于宫内妊娠的作用由小至大(随优势比)依次为盆腔炎史、输卵管柔软度、输卵管通畅度。结论影响宫腔镜下输卵管插管通液治疗输卵管性不孕疗效的因素是盆腔炎史、输卵管柔软度、输卵管通畅度。更多还原

【Abstract】 Objective To explore the factors influencing the clinical effect of hysteroscopic tubal recanalization for tubal infertility. Methods Tubal recanalization by hysteroscopy were carried out in 129 cases during April 2007 to December 2008.The tubal patency and pregnancy rate in 12 months of the patients,as well as related factors were then analyzed.Results After recanalization,197 of 258(76%) diseased Fallopian tubes in the patients were patent.Follow-up was achieved in 98 cases for 12 months,during which 49 cases were pregnant(50%,49/98).One-way analysis showed that history of pelvic inflammation,flexibility and patency of the Fallopian tube were the high-risk factors for the prognosis of the operation(P<0.05).Logistic regression showed that the highest-risk factor was history of pelvic inflammation,followed by flexibility and then patency of the Fallopian tube.Conclusions Pelvic inflammation,flexibitity and patency of the Fallopiar tube are factors influencing the efficacy of hysteroscopic tubal recanalization for tubal infertility.更多还原