Clinical Studies Of Pregnancy Outcome After Tubal Anastomosis

Background：Uterine tube has a complex and delicate reproductive function, which cannot only transport sperm, egg and zygote, but also is the hatching places of earlyembryo. Tubal sterilization is a method of removing the natural fertility by cutting,coagulation, or clogging and blocking the fallopian tube, etc. Since1970s women wererequired to carry out tubal sterilization, but as the increasing divorce rate, a variety ofaccident or illness caused children death, many women have the requirements forre-birth. Tubal anastomosis is the only way to restore fertility capacity. To meet therequirements of re-birth, tubal anastomosis is concerned by everyone. Therefore, a lot ofscholars are to study the factors affecting pregnancy rate of tubal anastomosis.Objective：To observe the clinical effect under direct vision tubal anastomosis, and toinvestigate the factors that affect pregnancy after tubal anastomosis.Methods：Retrospective analysis of the clinical data of117cases of tubal anastomosisin our hospital form2007to2011. We collected the patients’ age, year of the sterilization,length of postoperative tubal anastomosis and surgical site. We do statistical analysis ofthese data using SPSS17.0.Results：①Patients with sterilization under direct vision tubal anastomosis, thepregnancy rate is up to71%;②The pregnancy rate of women below36years groupwas highest, and was significantly (p<0.01) higher than above40years group;③Thepregnancy rate of women within six years of ligation group was highest,and wassignificantly (p<0.05) higher than9-12years group and above12years group;④Thepregnancy rate of women adopting isthmic to isthmic anastomosis of tube wasstatistically significantly higher than the group adopting ampullary to ampullaryanastomosis of tube (p<0.05).⑤There was no statistical significant difference amongall the groups when the residue tubal length after anastomosis of tube (p>0.05), but thelonger the retention length of tubal, the pregnancy rate of women might have the trendgrowth to augment. Conclusion：The pregnancy rate after tubal anastomosis was relative to the age,sterilization age and postoperative anastomotic site. the pregnancy rate of women whothe elder of the age and the longer of the sterilization age was lower, and the pregnancyrate of women adopting isthmic to isthmic anastomosis of tube was highest. Objective To observe the effect of pregnancy after tubal anastomosis underlaparoscopy, a detailed follow-up study the outcome of postoperative of5sterilizationpatients was in our hospital with longing for the birth.Methods Three patients with sterilization in the hospital between February2010andMay2012, aged35-45years old, fallopian tube anastomosis was operated underlaparoscopy with perfect elimination operation contraindications and preoperativepreparation.Results The operation time of5cases of laparoscopic tubal anastomosis was180-240minutes, and the patients had faster postoperative recovery. First day and third day oftubal patency surgery were undertaken, respectively.2cases were normal delivery,1of5cases was ectopic pregnancy,1of5cases showed tubal patency after tubalangiography.Conclusions Laparoscopic tubal anastomosis required higher laparoscopic surgerytechnology and had more difficulty which belonged to the meticulous surgery, but itwas less trauma and faster postoperative recovery for the patients, and had widerprospect of clinical application.