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目的:对育龄妇女进行输卵管结扎术后再行吻合复通术,对患者的临床表现情况进行观察。方法:选择在我院进行输卵管结扎术后再行吻合复通术的妇女共计120例,对其复通与宫内妊娠的情况进行观察并分析。结果:120例患者中有98例确认输卵管复通,复通率达到了84.67%,96例患者表现出宫内妊娠,妊娠率达到了80%,结扎的方式、吻合部位不同、年龄及输卵管是否存在炎症等问题对复通率无影响(P>0.05),剩余输卵管的长度、患者的年龄以及输卵管是否存在炎症对妊娠率存在着显著的影响(P<0.05)。结论:对吻合术后患者宫内妊娠造成影响的主要因素包括输卵管剩余的长度与炎症以及患者年龄的大小,想要提高患者的宫内妊娠率,其中关键之所在便是恢复与保留患者输卵管的生理功能。
OBJECTIVE: To observe the clinical manifestations of patients after fertilization of tubal ligation. Methods: A total of 120 women who underwent combined anastomosis and general anesthesia after tubal ligation in our hospital were selected. The situation of recanalization and intrauterine pregnancy were observed and analyzed. Results: Among the 120 patients, 98 cases confirmed tubal recanalization, with a multi-pass rate of 84.67%. 96 cases showed intrauterine pregnancy with a pregnancy rate of 80%. The ligation method, anastomotic site, age and fallopian tube (P> 0.05). The length of the remaining fallopian tubes, the age of the patient and the presence or absence of inflammation in the fallopian tubes had a significant effect on the pregnancy rate (P <0.05). CONCLUSIONS: The main factors that influence intrauterine pregnancy in patients with anastomosis include the length and inflammation of the fallopian tube and the age of the patient, and the key to improving the intrauterine pregnancy rate is to recover and retain the patient’s fallopian tubes Physiological function.