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目的 通过对５０ 例腹式绝育术后行输卵管吻合术妇女妊娠情况及影响因素的临床分析，寻找提高复通率的相关因素。方法 在显微下行输卵管端一端吻合，缝合２ ～３ 针，以减少吻合口处的瘢痕形成，促进输卵管生理功能的恢复。结果 近期复通率１００ ％ ，远期随访一年以上４７ 例，随访率９４ ％ ，复孕率８８ ％ ，妊娠成功率８７ ．２３ ％ 。结论 输卵管保留的长度和输卵管有无炎症可明显影响复孕率。术中不使用支架，同时减少输卵管端吻合缝针数，术后不避孕等，可能是提高复通率的因素之一。
Objective To analyze the pregnancy status and influencing factors in 50 cases of tubal anastomosis after abdominal sterilization, and to find out the related factors to increase the rate of recanalization. Methods Anastomosis and suture of 2 ~ 3 stitches were performed at the end of microsurgical descending oviduct to reduce the scar formation at the anastomotic site and promote the recovery of tubal physiological function. The results of the recent pass rate of 100%, long-term follow-up of more than one year in 47 cases, follow-up rate was 94%, pregnancy rate of 88% pregnancy success rate of 87. 23%. Conclusion The length of tubal retention and the presence or absence of tubal inflammation can significantly affect the rate of pregnancy. Intraoperative use of stents, while reducing the number of tubal anastomosis stitches, postoperative non-contraception, may be one of the factors to improve the rate of pass rate.