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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.
SUBMITTER: Shen H
PROVIDER: S-EPMC7745608 | biostudies-literature | 2020 Dec
REPOSITORIES: biostudies-literature
Shen Huawei H Cai Mingjin M Chen Tingwei T Zheng Duzhou D Huang Shikuan S Zhou Mimi M He Wanling W Li Yongsen Y Tan Qianyan Q
The Journal of international medical research 20201201 12
<h4>Objective</h4>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.<h4>Methods</h4>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. Predictiv ...[more]