Analysis of the Clinical Efficacy of Laparoscopy and Hysteroscopy in the Treatment of Tubal-Factor Infertility
Objective: This study aims to investigate the clinical efficacy of laparoscopy and hysteroscopy in the treatment of tubal-factor infertility (TFI) to provide a basis for predicting postoperative pregnancy rates.Methods: The clinical data of 336 patients who underwent laparoscopy and hysteroscopy for...
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doaj-25cf21af02894371843f0de4956489ec2021-08-16T06:42:20ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2021-08-01810.3389/fmed.2021.712222712222Analysis of the Clinical Efficacy of Laparoscopy and Hysteroscopy in the Treatment of Tubal-Factor InfertilityLei Nian0Lei Nian1De-Hong Yang2De-Hong Yang3Jie Zhang4Jie Zhang5Han Zhao6Han Zhao7Cai-Fen Zhu8Cai-Fen Zhu9Ming-Feng Dong10Ming-Feng Dong11Ying Ai12Ying Ai13Department of Obstetrics and Gynecology, The First People's Hospital of Yunnan Province, Kunming, ChinaThe Affiliated Hospital of Kunming University of Science and Technology, Kunming, ChinaDepartment of Obstetrics and Gynecology, The First People's Hospital of Yunnan Province, Kunming, ChinaThe Affiliated Hospital of Kunming University of Science and Technology, Kunming, ChinaDepartment of Obstetrics and Gynecology, The First People's Hospital of Yunnan Province, Kunming, ChinaThe Affiliated Hospital of Kunming University of Science and Technology, Kunming, ChinaDepartment of Obstetrics and Gynecology, The First People's Hospital of Yunnan Province, Kunming, ChinaThe Affiliated Hospital of Kunming University of Science and Technology, Kunming, ChinaDepartment of Obstetrics and Gynecology, The First People's Hospital of Yunnan Province, Kunming, ChinaThe Affiliated Hospital of Kunming University of Science and Technology, Kunming, ChinaDepartment of Obstetrics and Gynecology, The First People's Hospital of Yunnan Province, Kunming, ChinaThe Affiliated Hospital of Kunming University of Science and Technology, Kunming, ChinaDepartment of Obstetrics and Gynecology, The First People's Hospital of Yunnan Province, Kunming, ChinaThe Affiliated Hospital of Kunming University of Science and Technology, Kunming, ChinaObjective: This study aims to investigate the clinical efficacy of laparoscopy and hysteroscopy in the treatment of tubal-factor infertility (TFI) to provide a basis for predicting postoperative pregnancy rates.Methods: The clinical data of 336 patients who underwent laparoscopy and hysteroscopy for TFI between February 2018 and December 2018 in the Department of Reproductive Gynecology at the First People's Hospital of Yunnan were retrospectively analyzed. After implementing the inclusion and exclusion criteria, 278 patients were included in the study. The patients were grouped according to pelvic adhesions, hydrosalpinx, twisted fallopian tubes, and fimbriae structure. The impact of the extent of fallopian tube diseases on postoperative pregnancy outcomes was analyzed.Results: Of the 278 patients, 129 got pregnant (pregnancy rate = 46.4%). Pelvic adhesions, hydrosalpinx, twisted/folded fallopian tubes, and damage to the fimbriae of the fallopian tubes were found to affect the natural pregnancy rate after surgery, and it decreased significantly with the aggravation of the disease (P < 0.001). Of the 129 patients who had natural pregnancies, 29 had ectopic pregnancies (ectopic pregnancy rate = 22.48%). Twisted/folded fallopian tubes and damage to the fimbriae structure significantly increased the incidence of postoperative ectopic pregnancy (P < 0.001).Conclusion: Laparoscopy and hysteroscopy are effective treatments for TFI. Pelvic adhesions, twisted/folded fallopian tubes, hydrosalpinx, and damage to the fimbriae of the fallopian tubes can affect postoperative pregnancy outcomes and lead to failure of a natural pregnancy after the operation. The incidence of ectopic pregnancy increases with the degree of fallopian tube twisting/folding and the degree of damage to the fimbriae of the fallopian tubes.https://www.frontiersin.org/articles/10.3389/fmed.2021.712222/fulllaparoscopyhysteroscopytubal infertilitypregnancy rateclinical efficacy |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Lei Nian Lei Nian De-Hong Yang De-Hong Yang Jie Zhang Jie Zhang Han Zhao Han Zhao Cai-Fen Zhu Cai-Fen Zhu Ming-Feng Dong Ming-Feng Dong Ying Ai Ying Ai |
spellingShingle |
Lei Nian Lei Nian De-Hong Yang De-Hong Yang Jie Zhang Jie Zhang Han Zhao Han Zhao Cai-Fen Zhu Cai-Fen Zhu Ming-Feng Dong Ming-Feng Dong Ying Ai Ying Ai Analysis of the Clinical Efficacy of Laparoscopy and Hysteroscopy in the Treatment of Tubal-Factor Infertility Frontiers in Medicine laparoscopy hysteroscopy tubal infertility pregnancy rate clinical efficacy |
author_facet |
Lei Nian Lei Nian De-Hong Yang De-Hong Yang Jie Zhang Jie Zhang Han Zhao Han Zhao Cai-Fen Zhu Cai-Fen Zhu Ming-Feng Dong Ming-Feng Dong Ying Ai Ying Ai |
author_sort |
Lei Nian |
title |
Analysis of the Clinical Efficacy of Laparoscopy and Hysteroscopy in the Treatment of Tubal-Factor Infertility |
title_short |
Analysis of the Clinical Efficacy of Laparoscopy and Hysteroscopy in the Treatment of Tubal-Factor Infertility |
title_full |
Analysis of the Clinical Efficacy of Laparoscopy and Hysteroscopy in the Treatment of Tubal-Factor Infertility |
title_fullStr |
Analysis of the Clinical Efficacy of Laparoscopy and Hysteroscopy in the Treatment of Tubal-Factor Infertility |
title_full_unstemmed |
Analysis of the Clinical Efficacy of Laparoscopy and Hysteroscopy in the Treatment of Tubal-Factor Infertility |
title_sort |
analysis of the clinical efficacy of laparoscopy and hysteroscopy in the treatment of tubal-factor infertility |
publisher |
Frontiers Media S.A. |
series |
Frontiers in Medicine |
issn |
2296-858X |
publishDate |
2021-08-01 |
description |
Objective: This study aims to investigate the clinical efficacy of laparoscopy and hysteroscopy in the treatment of tubal-factor infertility (TFI) to provide a basis for predicting postoperative pregnancy rates.Methods: The clinical data of 336 patients who underwent laparoscopy and hysteroscopy for TFI between February 2018 and December 2018 in the Department of Reproductive Gynecology at the First People's Hospital of Yunnan were retrospectively analyzed. After implementing the inclusion and exclusion criteria, 278 patients were included in the study. The patients were grouped according to pelvic adhesions, hydrosalpinx, twisted fallopian tubes, and fimbriae structure. The impact of the extent of fallopian tube diseases on postoperative pregnancy outcomes was analyzed.Results: Of the 278 patients, 129 got pregnant (pregnancy rate = 46.4%). Pelvic adhesions, hydrosalpinx, twisted/folded fallopian tubes, and damage to the fimbriae of the fallopian tubes were found to affect the natural pregnancy rate after surgery, and it decreased significantly with the aggravation of the disease (P < 0.001). Of the 129 patients who had natural pregnancies, 29 had ectopic pregnancies (ectopic pregnancy rate = 22.48%). Twisted/folded fallopian tubes and damage to the fimbriae structure significantly increased the incidence of postoperative ectopic pregnancy (P < 0.001).Conclusion: Laparoscopy and hysteroscopy are effective treatments for TFI. Pelvic adhesions, twisted/folded fallopian tubes, hydrosalpinx, and damage to the fimbriae of the fallopian tubes can affect postoperative pregnancy outcomes and lead to failure of a natural pregnancy after the operation. The incidence of ectopic pregnancy increases with the degree of fallopian tube twisting/folding and the degree of damage to the fimbriae of the fallopian tubes. |
topic |
laparoscopy hysteroscopy tubal infertility pregnancy rate clinical efficacy |
url |
https://www.frontiersin.org/articles/10.3389/fmed.2021.712222/full |
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