Analysis of related factors associated with pelvic adhesion and its influence on fallopian tube recanalization in infertile patients / 中国基层医药

ABSTRACT

Objective To investigate related factors of pelvic adhesions and its effect on fallopian tube recanalization in infertile patients.Methods Infertile patients undergoing hysteroscopy and laparoscopic surgery in Department of Obstetrics and Gynecology,Kangning Women and Children Hospital of Jinyun were studied retrospec-tively.They were divided into adhesion group and non -adhesion group.The differences of past medical history, complication,prognosis between the two groups were determined.Results There were 301 patients in this study, including 97 patients with pelvic adhesions in adhesion group and 204 patients without pelvic adhesions in non -pelvic adhesion group.Among those events of past medical history,the incidence rates of abortion,pelvic inflammation,pelvic cavity and abdominal operation in the adhesion group were significantly higher than those in the non -adhesion group (χ2 =7.39,20.27,29.99,all P 0.05).Among the events of complications,concurrent rates of pelvic tuberculosis,tubal effusion or fester,ovary endometriosis cyst in the adhesion group were statistically higher than those in the non -adhesion group(χ2 =9.39,24.71,22.89,all P 0.05 ).At the time of 3 months after curing,the rate of recanalization fallopian tube of patients cured by salpingostomy in the two groups had no statistical difference(χ2 =0.00,P >0.05 ).And the rate of recanalization fallopian tube of patients cured by interventional therapy in the adhesion group was statistically higher than that in the non -adhesion group(χ2 =5.87,P <0.05 ).Conclusion Abortion,pelvic inflammation,pelvic cavity and abdominal operation,pelvic tuberculosis,tubal effusion or fester and ovary endometriosis cyst are the risk factors of pelvic adhesion in the reproductive age women,and pelvic adhesion has significant effect on the fallopian tube recanalization in infertile patients.