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대한생식의학회지 제25권 제3호 2010년
미세수술적 난관복원술을 시행받은 36세 이상 환자에서의 임신율에 관한 연구
서울대학교 의과대학 산부인과학교실
김석현, 이규창, 최수희, 최영민, 신창재, 김정구, 문신용, 이진용, 장윤석,
Reproductive Outcomes after Microsurgical Reversal of Tubal Sterilization in Women 36 Years Age or Older
Kim sh, Lee gc, Choi sh, Choi ym, Shin cj, Kim jg, Moon sy, Lee jy, Chang ys
Objective : To determine the reproductive outcomes of women undergoing microsurgical reversal of tubal sterilization at age 36 years or older. Materials and Methods : A series of 133 patients who received microsurgical reversal of the previously sterilized fallopian tubes at Seoul National University Hospital from July, 1980 to January, 1992 was reviewed and evaluated for clinical characteristics, pregnancy rates, and factors influencing the outcome of tubal reversal. Results : Of 133 patients, 78(58.6%) had been sterilized by laparoscopic cautery. Loss of children was a leading cause for tubal reversal. The mean interval from tubal sterilization to tubal reversal was 65.0 months. The overall pregnancy rate was 52.6%(70/133), and the mean interval was 9.4 months from tubal reversal to pregnancy. Excluding 7 patients who were lost to follow-up, 76 pregnancies were confirmed in 63 patients with the delivery rate per patient of 66.7%(42/63). There were no significant differences in age, duration of tubal sterilization, postoperative tubal length between pregnant and non-pregnant groups. Conclusions : Microsurgical reversal of tubal sterilization could be a justifiable method in women 36 years age or older.
키워드 : Tubal sterilization, Microsurgical tubal reversal, Age, Pregnancy rate
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