| Objective Through the retrospective study on the treatment of tubal infertility patients after laparoscopy enema prescription,observe the pregnancy of patients after treatment,in order to explore the clinical efficacy of enema prescription for tubal infertility patients after laparoscopy,to provide clinical basis for the postoperative treatment of tubal infertility patients.Methods Retrospectively analyze the clinical data of patients diagnosed with tubal factor infertility after palace of laparoscopy in our hospital from November 2017 to December 2020.Postoperative follow-up of 14 months(until February 2022),record pregnancies of 1 year after palace of laparoscopy.Eighty-three cases meeting the criteria were included and divided into group A(54 cases of enema group)and Group B(29 cases without enema group)according to whether enema treatment was performed after surgery.Results 1.The results of group A and group B are as follows:postoperative cumulative pregnancy 38(70.37%),15(51.72%),intrauterine pregnancy 35(64.81%),12(41.38%),ectopic pregnancy 3(5.56%)、3(10.34%),the median postoperative pregnancy time is 2,3.The intrauterine pregnancy rate of group A is higher than group B,the difference is statistically significant(P=0.040).The cumulative pregnancy rate of group A compared with group B has A rising trend,but the difference is no statistically significan(P=0.092),comparing the Ectopic pregnancy rates and postoperative pregnancy time,the difference is statistically significant(P>0.05).2.A total of 53 cases got pregnant one year after operation,and 29 cases(54.72%)got pregnant within 3 months after operation.Group A and group B respectively different times after intrauterine pregnancy rate is as follows:0～3 months 19(35.19%),9(31.03%),4～12 months 16(47.06%),3(15%).Comparing the intrauterine pregnancy rate within 3 months after operation of two groups,the difference is no statistically significant(P>0.05).Comparing the intrauterine pregnancy rate between 4～12 months after operation,group A is higher than group B,the difference is statistically significant(P=0.03 7).3.A total of 56 cases fallopian tube light pathological changes,36(64.29%)cases of intrauterine pregnancy,21 cases of tubal moderate lesions,11(52.38%)cases of intrauterine pregnancy,fallopian tube 6 cases severe lesions,0 cases of intrauterine pregnancy.Comparing the fallopian tube slightly damaged of intrauterine pregnancy rate,group A 24(70.59%),group B 12(54.55%),group A has rising trend,but the difference is no statistically significan(P=0.221).Comparing the tubal moderate damage of intrauterine pregnancy rate,group A 11(64.71%),group B 0(0%),group A is higher than group B,the difference is statistically significant(P=0.035).4.A total of mild pelvic adhesion 59 cases,38(64.41%)cases of intrauterine pregnancy,moderate pelvic adhesion 21 cases,8(38.10%)cases of intrauterine pregnancy,Severe pelvic adhesion 3 cases,1(33.33%)cases of intrauterine pregnancy.Comparing the mild pelvic adhesion of intrauterine pregnancy rate,group A 27(72.97%),group B 11(50.0%),group A has rising trend,but the difference is no statistically significan(P=0.075).Comparing the moderate and severe pelvic adhesion of intrauterine pregnancy rate,group A 8(47.06%),group B 1(14.29%),group A has rising trend,but the difference is no statistically significan(P=0.191).Conclusion Retention enema can improve the intrauterine pregnancy rate of tubal factor infertility patients after palace of laparoscopy,especially in 4～12 months.Patients gain long-term benefit,retention enema is worth promoting.0～3 months after palace of laparoscopic surgery is the peak period of pregnancy,so we suggested that patients should positive for pregnant during this period.Adopting the new tubal scoring system,tubal severe lesions postoperative intrauterine pregnancy rate is extremely low,which has reference value to the prognosis,and provide reference for clinical doctors. |
PDF Full Text Request