乳腺切除术后,性结肠炎妇女生殖能力下降的原因
Emma Druvefors1, Kalle Landerholm1, Roland E Andersson2
1Department of Surgery, County Hospital Ryhov, Jönköping, and Department of Biomedical and Clinical Sciences, Faculty of Health Sciences, Linköping University, Linköping, Sweden.
Scandinavian journal of gastroenterology
|November 1, 2024
概括
妇女的性结肠炎手术显著影响生育欲望和受孕. 囊门门门复构造比门门门门复构造提出了更高的受孕挑战.
科学领域:
- 胃肠病学 胃肠病学
- 生殖医学 生殖医学
- 外科手术的结果
背景情况:
- 性结肠炎 (UC) 管理通常需要切除肠道和肠道重建.
- 这些手术干预无疑与女性生育能力的降低有关.
研究的目的:
- 研究胆管切除术和随后的肠道重建对性结肠炎妇女生育能力的影响.
- 确定导致手术后生育能力下降的因素.
主要方法:
- 在2000年至2020年期间,对294名18至44岁的女性进行了一项调查,这些女性在UC中接受了大肠切除术.
- 数据包括手术重建类型 (没有重建,IRA,IPAA) 和生育结果.
- 瑞典炎症肠病登记 (SWIBREG) 数据补充了问卷答复.
主要成果:
- 214名女性完成了调查;39.4%的女性认为她们生了更少的孩子,9.5%的女性由于UC而拒绝生孩子.
- 36.5%的人报告有受孕困难,18%的人无法怀孕.
- 怀孕的困难是显着更高,以后的囊门解剖 (IPAA) (或5.54) 与门直肠解剖 (IRA) (或2.57) 相比.
结论:
- 大肠切除术和重建显著影响女性对孩子的渴望和生育能力.
- 与IRA相比,IPAA重建对构思提出了更大的挑战.
- 孕育能力的维护应该是UC妇女手术规划中的一个关键考虑因素.
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