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目的 探讨输卵管性不孕症的发病情况与病理改变。方法 采用回顾性方法对 1981～ 1995年 15年间 2 11例输卵管性不孕症进行分析 ,并将其分为 1981～ 1985年 (A组 )、1986～ 1990年 (B组 )、1991～ 1995年 (C组 )三组。结果 三组病例分别占同期妇科住院病人数的 0 947%、1 5 98%和 4 0 92 % ,C组高于B组 ,B组高于A组 ,P <0 0 5。输卵管病变以输卵管非特异性慢性炎症导致管腔闭塞或狭窄为主 ,三组分别占 6 3 6 4%、83 33%及 6 8 96 %。有人工流产史者分别占继发不孕的 16 6 7%、2 5 0 0 %及 5 5 42 % ,C组高于B组与A组 ,P<0 0 5。结论 医院输卵管性不孕症发病率呈上升趋势 ,人工流产可能是继发不孕的一个影响因素。其主要病因是输卵管非特异性慢性炎症 ,其次为输卵管子宫内膜异位症、结节性输卵管炎、输卵管结核及管腔纤维闭塞。
Objective To investigate the incidence of tubal infertility and pathological changes. Methods A retrospective analysis of 21 1 15 cases of fallopian tube infertility during the 15 years from 1981 to 1995 was conducted and divided into 1981 ~ 1985 (group A), 1986 ~ 1990 (group B), 1991 ~ 1995 (C group) three groups. Results The three groups of patients accounted for 0 947%, 15 98% and 40 92% of the total number of gynecological inpatients in the same period, respectively. The C group was higher than the B group, the B group was higher than the A group (P <0.05). Tubal lesions with tubal non-specific chronic inflammation led to lumen occlusion or stenosis, the three groups accounted for 6 3 6 4%, 83 33% and 6 8 96%. The history of artificial abortion accounted for 16 6 7%, 25 0% and 55 42% of the secondary infertility, respectively, which was higher in group C than in group B and group A, P <0 05. Conclusion The incidence of tubal infertility in hospital is on the rise. Induced abortion may be an influencing factor of infertility. The main cause is tubal non-specific chronic inflammation, followed by tubal endometriosis, tubal salpingitis, tubal tubal and lumen fiber occlusion.