미세수술을 이용한 난관성형술 185예의 임신율에 관한 연구

Abstract

During 4 years and 6 months perlods from august, 1983 through February 1988, 185 cases of microsurgical tuboplasties were performed and they have been followed up for 1 to 54 months postoperatively in the Department of Obstetrics and Gynecology, Keimyung University Hospital. Microsurgery was defined as the use of magnification, lavage, and atraumatic technique. The procedures performed were into five categories: Lysis of adhesions, tubal anatomosis, fimbrioplasty, salpingostmy, and combined procedures. The results were as follows The over-all pregnancy rate was 33.5% among 185 patents underwent microsurgical tuboplasty. The pregnancy rate was 42.3%(3ε/78) for those who underwent tubal anastomosis, 37.5% (3/8) for lysis of adhesions, 27.7%(23/83) for fimbrioplasty, and 42.9%(3/7) for combined procedures. Twenty-two pregnancies (35%) occurred during the first 3 months, 38 pregnancies (61%)during the first %months, 54 pregnancies (87%) during the first 12 months and all pregnancies during the first 36 months after surgery. The over-all term pregnancy rate was 22% among 185 patients underwent microsurgical tuboplasty. The term pregnancy rate was 25%(2/8) for those who underwent lysis of adhesions, 29.5% (23/78) among the tubal anastomosis group, 16.9%(14/83) among the fimbrioplasty group, and 28.6% (2/7) among patients treated with combined procedures.