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| Pregnant situation of women with tubal obstructive infertility after fallopian tube interventional recanalization and its influence factors |
| Lishui Central Hospital, Lishui, Zhejiang Province, 323000 |
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Abstract To explore the influencing factors of the pregnant outcomes of women with tubal obstructive infertility after fallopian tube interventional recanalization. Methods: The clinical data of 164 women with tubal obstructive infertility who underwent fallopian tube interventional recanalization from June 2020 to February 2022 were collected. The natural pregnancy rate of the women within 1 year after surgery was calculated. Multivariate logistic regression analysis was used to identify the factors influencing the natural pregnancy of the women after fallopian tube interventional recanalization. Results: The cases lost to follow-up after operations were excluded, and 155 patients were included in the study finally. There were 74 women with natural pregnancies within 1 year after surgery, accounting for 47.7%. Multivariate logistic regression analysis showed that the age ≥ 35 years old (OR=2.41，95%CI 1.20-4.85), the primary infertility (OR=2.79，95%CI=1.38-5.62), the infertility duration >5 years (OR=2.19，95%CI 1.17-4.08), the distal tubal obstruction (OR=3.10， 95%CI 1.36-7.06), the history of pelvic surgery (OR=3.87，95%CI 1.83-8.19), and the uneven intraoperative pelvic diffusion (OR=2.75，95%CI 1.30-5.79) of the women were the independent risk factors affecting their natural pregnancy after surgery (P＜0.05). Conclusion: There are various factors affecting the natural pregnancy of the women with tubal obstructive infertility after fallopian tube interventional recanalization. The young patients with secondary infertility, shorter infertility duration, proximal tubal obstruction, or no history of pelvic surgery are more suitable for the fallopian tube interventional recanalization.
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