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| Effect of the laparoscopy combined with hysteroscopy used in the fallopian tube anastomosis |
| 1. Hainan Jinghua Hejing Reproductive Hospital, Haikou, Hainan Province, 570201；2. Haikou Maternal and Child Health Care Hospital |
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Abstract To analyze the effect of the laparoscopy combined with hysteroscopy used in fallopian tube anastomosis of patients. Methods: A total of 94 patients admitted to hospital for requiring pregnancy after fallopian tube sterilization were selected and were randomly divided into two groups (47 patients in each group) by random number method from January 2020 to January 2022. The patients in the control group were given laparoscopic fallopian tube anastomosis, and the patients in the observation group were given laparoscopic combined hysteroscopic fallopian tube anastomosis. The perioperative indicators, the rates of cervical secretion infections of chlamydia trachomatis (CT) and ureaplasma urealyticum (UU), the adverse reactions rate, the situation of postoperative fallopian tube patency, the postoperative reattachment rate, the quality of sexual life evaluated by female sexual function scale (FSFI), the levels of estradiol (E2), prolactin (PRL), folliclestimulating hormone (FSH), luteinizing hormone (LH), progesterone (P), and testosterone (T), and the levels of inflammatory factors, such as interleukin 2 (IL2), C-reactive protein (CRP), and tumor necrosis factor-α (TNF-α), and the postoperative pregnancy situation of the patients were compared between the two groups. Results: The amount of bleeding, the rates of the postoperative fever, the infections of CT, UU, and both CT and UU, and the pelvic adhesion, and the levels of PRL, FSH, LH, T, IL-2, CRP, and TNF-α of the patients in the observation group were significantly lower than those of the patients in the control group. The proportions of the bilateral fallopian tubes ≥5cm (80.9%) and the total fallopian tube patency rate (91.5%) of the patients in the observation group were significantly higher than those (61.7% and 76.6%) of the patients in the control group. The FSFI index scores and the E2 level of the patients in the observation group were significantly higher than those of the patients in the control group. The recovery time of sexual life (1.50±0.31 months) and the time of starting regular sexual life (2.12±0.30 months) of the patients in the observation group were significantly earlier than those (2.62±0.50 months and 3.00±0.41 months) of the patients in the control group (all P＜0.05). There were no significant differences in the operation time, the rate of un-exhaust within postoperative 24 hours, the hospital stay time, and the total incidence of adverse reactions of the patients between the two groups (P＜0.05). Conclusion: The laparoscopy combined with hysteroscopy used in fallopian tube anastomosis of the patients can increase the rates of their fallopian tube patency and postoperative pregnancy, reduce the risk of their infection of CT, improve their levels of sexual hormones and inflammatory factors, and reduce their postoperative adhesions rate.
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