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输卵管结扎后再通的取舍

Clinical indications for recanalization following tubal sterilization

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【作者】 于晓明

【Author】 YU Xiao-ming;Reproductive Medicine Center,Peking University People’s Hospital;

【机构】 北京大学人民医院计划生育与生殖医学中心

【摘要】 绝育术后要求再生育时,可以选择输卵管复通术或者体外受精-胚胎移植(in vitro fertiliza-tion-embryo transfer,IVF-ET)助孕。由于年龄、复通术后输卵管长度、绝育方式及复通术式均会影响复通后妊娠率,所以,<35岁、不合并其他不孕因素的患者更适合输卵管复通术;而>40岁、合并电凝绝育等输卵管复通预后不良因素的患者适合IVF助孕。其他条件的患者,尚无确切证据表明复通术和IVF哪种更有效。

【Abstract】 For women planning pregnancy after tubalsterilization,they have to choose tubal recanalization or vitro fertilization(IVF).The important factors fordetermining the successful pregnancy after recanali-zation are the age of patient,the remaining length oftube,the type of sterilization initially performed and thetechnique of tubal recanalization.For women <35 yearswho are without other infertility factors,tubal recana-lization is suitable,whereas if women >40 years whoare with electrocoagulation as the method of steriliza-tion,they are suitable for IVF.Nevertheless,for the restones,there is no evidence showing which strategy islikely to be more effective.

【关键词】 绝育术输卵管复通术体外受精
【Key words】 tubal sterilizationtubal recanalizationIVF
【基金】 北京市卫生与健康科技成果和适宜技术推广项目(2018-TG-16)
  • 【文献出处】 中国实用妇科与产科杂志 ,Chinese Journal of Practical Gynecology and Obstetrics , 编辑部邮箱 ,2019年01期
  • 【分类号】R713.54
  • 【被引频次】6
  • 【下载频次】338
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