摘要
目的：探讨宫腔镜、腹腔镜联合手术治疗输卵管积水的安全性和疗效。方法：在腹腔镜下行输卵管伞端造口术、成形术后，在宫腔镜下行输卵管插管通液术。结果：286例患者均顺利完成两镜联合手术，无不良并发症发生，手术成功率82．52％，手术时间50～130min，平均90min，出血量20～120min，平均70ml。153例随访一年，随访率53．5％，术后妊娠73例，占随访病例的47．7％，其中宫内妊娠流产18例，输卵管妊娠6例；其余80例术后随访1年仍未孕经HSC检查发现输卵管积水6例，占7．5％。结论：宫腹腔镜联合手术治疗输卵管积水患者创伤小、效果好、康复快，可替代开腹手术。
Objective： To evaluate the value and safety of laparoscopy combined with hysteroscopy in the treatment of hydrosalpinx. Methods：After performing neosalpingostomy by laparoscopy the hydrotubation was performed by hysteroscopy. Results ：286 cases had been operated successfully, no complications occured,6 cases of salpingectomy had been performed, 12 cases of abdominal tuberculosis were diagnosed. The successful rate of laparoscopic surgery was 82.52%, the mean operative time was 90 minutes, mean blood loss was 70ml. 153 cases of neosalpingostomy were followed up, the follow up rate was 57.08%, and the mean follow up time was 12 months,73 patients were intrauterine pregnancy, 18 cases were abortion, and 6 patiens were ectopic pregnancy, 80 patients were not pregnant of which 6 cases were hydrosalpinx 1 year after operation. Conclusions： Laparoscopy combined with hysteroscopy can not only diagnose the cause of infertility but also cure some patients, It has advantages of simplicity, minimal invasion and rapid recovery.
出处
《腹腔镜外科杂志》
2006年第2期123-124,共2页
Journal of Laparoscopic Surgery
关键词
宫腔镜
腹腔镜
输卵管积水
Hysteroscopy
Laparoscopy
Hydrosalpinx
