Factors affecting the success of fallopian tube recanalization in treatment of tubal obstructive infertility.
J Int Med Res
; 48(12): 300060520979218, 2020 Dec.
Article
em En
| MEDLINE
| ID: mdl-33322979
ABSTRACT
OBJECTIVE:
To examine potential risk factors associated with the success rate following fallopian tube recanalization (FTR) in infertile women with obstruction of the proximal fallopian tube.METHODS:
We retrospectively studied patients who underwent FTR for tubal obstructive infertility between January 2016 and December 2018 at the Third Affiliated Hospital of Guangzhou Medical University. FTR was performed using a catheter and guidewire system to clear tubal obstruction. Predictive factors potentially associated with the success rate were assessed by logistic regression.RESULTS:
A total of 762 patients were included. Multivariable analysis showed that age (odds ratio [OR] = 2.38, 95% confidence interval [CI] 1.24-4.58), infertility type (OR = 2.82, 95% CI 1.36-6.21), history of ectopic pregnancy (OR = 7.87, 95% CI 4.05-15.81), history of abdominal surgery (OR = 4.30, 95% CI 2.22-8.60), history of artificial abortion curettage (OR = 4.08, 95% CI 2.12-8.03), and duration of infertility (OR = 2.03, 95% CI 1.06-3.85) were independently associated with postoperative tubal patency.CONCLUSIONS:
Our findings suggest that risk factors, such as age ≥35 years, secondary infertility, duration of infertility ≥5 years, and histories of ectopic pregnancy, abdominal surgery, and artificial abortion curettage, affect the success rate of FTR. These factors may also predict surgical success in treating tubal obstructive infertility.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Doenças das Tubas Uterinas
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Infertilidade Feminina
Tipo de estudo:
Observational_studies
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Prognostic_studies
/
Risk_factors_studies
Limite:
Adult
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Female
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Humans
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Pregnancy
Idioma:
En
Revista:
J Int Med Res
Ano de publicação:
2020
Tipo de documento:
Article