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Factors affecting the success of fallopian tube recanalization in treatment of tubal obstructive infertility
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 Jan...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
SAGE Publications
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7745608/ https://www.ncbi.nlm.nih.gov/pubmed/33322979 http://dx.doi.org/10.1177/0300060520979218 |
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author | Shen, Huawei Cai, Mingjin Chen, Tingwei Zheng, Duzhou Huang, Shikuan Zhou, Mimi He, Wanling Li, Yongsen Tan, Qianyan |
author_facet | Shen, Huawei Cai, Mingjin Chen, Tingwei Zheng, Duzhou Huang, Shikuan Zhou, Mimi He, Wanling Li, Yongsen Tan, Qianyan |
author_sort | Shen, Huawei |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-7745608 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | SAGE Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-77456082021-01-04 Factors affecting the success of fallopian tube recanalization in treatment of tubal obstructive infertility Shen, Huawei Cai, Mingjin Chen, Tingwei Zheng, Duzhou Huang, Shikuan Zhou, Mimi He, Wanling Li, Yongsen Tan, Qianyan J Int Med Res Retrospective Clinical Research Report 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. SAGE Publications 2020-12-15 /pmc/articles/PMC7745608/ /pubmed/33322979 http://dx.doi.org/10.1177/0300060520979218 Text en © The Author(s) 2020 https://creativecommons.org/licenses/by-nc/4.0/ Creative Commons Non Commercial CC BY-NC: This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage). |
spellingShingle | Retrospective Clinical Research Report Shen, Huawei Cai, Mingjin Chen, Tingwei Zheng, Duzhou Huang, Shikuan Zhou, Mimi He, Wanling Li, Yongsen Tan, Qianyan Factors affecting the success of fallopian tube recanalization in treatment of tubal obstructive infertility |
title | Factors affecting the success of fallopian tube recanalization in treatment of tubal obstructive infertility |
title_full | Factors affecting the success of fallopian tube recanalization in treatment of tubal obstructive infertility |
title_fullStr | Factors affecting the success of fallopian tube recanalization in treatment of tubal obstructive infertility |
title_full_unstemmed | Factors affecting the success of fallopian tube recanalization in treatment of tubal obstructive infertility |
title_short | Factors affecting the success of fallopian tube recanalization in treatment of tubal obstructive infertility |
title_sort | factors affecting the success of fallopian tube recanalization in treatment of tubal obstructive infertility |
topic | Retrospective Clinical Research Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7745608/ https://www.ncbi.nlm.nih.gov/pubmed/33322979 http://dx.doi.org/10.1177/0300060520979218 |
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