摘要
目的探讨输卵管残端妊娠的临床特点,以及评价输卵管介入栓塞术在预防输卵管残端妊娠中的应用价值。方法体外受精-胚胎移植(IVF-ET)术前行输卵管积水预处理的患者中,有35例为输卵管残端患者,其中单侧输卵管术后28例,双侧输卵管术后7例。输卵管残端长度10~45 mm,平均25 mm。所有病例均用微弹簧圈介入栓塞输卵管,术后行IVF-ET并观察妊娠率及异位妊娠率。结果 35例患者均成功栓塞双侧输卵管,术后IVF-ET妊娠率48.5%(17/35),无一例发生输卵管残端妊娠。结论输卵管介入栓塞术应用于栓塞输卵管残端,能有效避免输卵管残端妊娠。
Objective To investigate the clinical characteristics of tubal stump pregnancy, and to assess the value of interventional embolization in preventing tubal stump pregnancy. Methods Among the patients who were planned to receive preoperative treatment of hydrosalpinx before the performance of in vitro fertilization-embryo transfer(IVF-ET) at authors' hospital, 35 patients had stump of fallopian tube. Of the35 patients, previous surgery of unilateral fallopian tube was present in 28 and previous surgery of bilateral fallopian tubes in 7. The length of tubal stump ranged from 10 mm to 45 mm, with a mean of 25 mm.Interventional embolization with micro-coils was carried out in all patients, after which IVF-ET was performed.The pregnancy rate and ectopic pregnancy rate were calculated. Results Embolization of both fallopian tubes was successfully accomplished in all 35 patients. The IVF-ET pregnancy rate was 48.5%(17/35), and no tubal stump pregnancy occurred. Conclusion The use of interventional embolization to occlude tubal stump can effectively avoid the occurrence of tubal stump pregnancy.
引文
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