| Objective: A retrospective analysis by January 2011-December2013 due to tubal infertility XXX hospital patient-hysteroscopy and laparoscopy combined diagnosis and treatment of patients,and follow-up of its conception,the female is not designed to analyze pregnant etiology composition,after the best time to pregnancy and explore related factors affect the natural pregnancy after laparoscopy combined with surgery and natural pregnancy failure underwent IVF pregnancy outcome.Methods: Telephone follow-up after 6 months,12 months,24 months,over 24 months of pregnancy;after natural conception divided according to whether naturally conceived group and the group did not conceive naturally.Analysis of age,duration of infertility,infertility category;patients with previous history of surgery such as artificial abortion,pelvic surgery,history of tubal pregnancy,tubal surgery score,after the diagnosis and treatment of tubal patency for natural pregnancy after laparoscopy Impact.According to the United Palace abdominal surgery to conceive naturally,53 losers routine pregnancy outcomes of assisted reproductive technology into IVF and IVF pregnancy group non-pregnant group.Observe the general indicators such as age,durationof infertility,infertility category;previous surgery,pelvic surgery,history of induced abortion,such as tubal surgery;surgery tubal score situation,tubal patency after surgery and soon.Results:1.181 cases studied,the natural pregnancy,94 cases,87 cases did not conceive naturally,the overall pregnancy rate was 51.93%(94/181),from January to June after natural conception rate was 33.70%(61/181);surgery between June to December,after 28 cases of spontaneous conception,from June to December after natural conception was 15.47%(28/181)after 1-12 months of total natural conception was49.17%(61 + 28/181);after 12 months to 18 months between five cases of natural conception,12-18 months after natural conception was 2.76%(5/181),after cumulative natural conception rate within 1-18 months51.93%(61 + 5 + 28/181).Look laparoscopy after treatment for 6 months without undergoing IVF pregnancy progesterone treatment in 53 cases,including 23 cases of successful pregnancy,to follow-up 30 cases of successful pregnancy stop bit.Successful IVF pregnancy rate was43.40%(23/53).2.Divided according to whether natural conception after natural conception group(71 cases)and non-naturally conceived group(110cases),the general situation of the two groups such as age,duration of infertility compare results Age P> O.05,there was no duration of infertility P <O.05,the difference was statistically significant;statisticallysignificant.3.The study group after natural conception in laparoscopy group 94 cases,including 28 cases of primary infertility,secondary infertility,43cases;not naturally conceived group of 87 cases,including 40 cases of primary infertility,secondary infertility 47 cases,according to the chi-square test result,P> 0.05,infertility category after natural conception rate in patients with no correlation,the difference was not statistically significant.4.Chi-square test results according to the history of abortion,pelvic surgery,no significant differences between the two statistics,history of tubal pregnancy,P <0.05,the difference was statistically significant,that is,without previous history of induced abortion,pelvic surgery does not affect laparoscopy situation after natural conception.With previous patients with a history of tubal pregnancy,after pregnancy naturally reduced.5.The follow-up of patients grouped according to the fallopian tubes into the high score,grouped,low packet.Chi-square test,according to the results found,P = 0.030 <0.05,the difference was statistically significant,namely Rating tubal surgery laparoscopy surgery may affect the case of natural conception rates.6.Bilateral tubal patency into smooth,not smooth and passable three groups.Chi-square test,according to the results found,P = 0.004 <0.05,the difference was statistically significant,namely surgery tubal patency can affect the natural pregnancy rate after laparoscopy.7.Logistic analysis univariate analysis,duration of infertility,tubal surgery score,history of tubal pregnancy,tubal patency the degree of P<0.1 various factors into multivariate,duration of infertility(OR = 0.332),tubal score(OR = 1.304),history of tubal pregnancy(OR = 0.225),postoperative tubal patency(OR = 0.437).8.Age,tubal water,artificial abortion(P <0.05)is a factor after natural pregnancy failure laparoscopy underwent IVF pregnancy rates,age(OR = 0.004),tubal water(OR =0.324).Conclusion(s):1.Women palace laparoscopic tubal infertility diagnosis and treatment by natural pregnancy rate after six-month high,after the pregnancy test as soon as possible to get the best pregnancy outcomes.2.Shorter duration of infertility,tubal score high,no previous history of ectopic pregnancy,tubal patency good palace laparoscopic tubal infertility diagnosis and treatment of postoperative joint higher natural pregnancy.Longer duration of infertility,within 6 months after the patient failed to conceive naturally tubal infertility patients with a low score should undergo IVF-ET progesterone treatment as soon as possible.3.The lower older,patients with severe tubal water natural pregnancy after laparoscopy and IVF-ET pregnancy rate. |
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