摘要
目的探讨腹腔镜下输卵管粘连分离和成行及造口术对输卵管性不孕治疗的价值。方法回顾性分析我院175例输卵管性不孕患者,在我科行腹腔镜下输卵管粘连分离和成行及造口术治疗的临床资料和术后12-24月随访资料,分析术后妊娠结局及相关影响因数。结果术后总妊娠率48.5%(85/175),其中5例流产;正常宫内妊娠率46.2%(81/175),已足月分娩72例,早产1例,3例正处于妊娠期;4例异位妊娠,异位妊娠发生率为2.2%(4/175)。术前输卵管病变程度是影响手术预后的主要因数。结论腹腔镜下输卵管粘连分离和成行及造口术是治疗轻-中度输卵管病变的有效方法,能恢复输卵管正常的解剖关系,提高受孕率。
Objective To study the value of lysis of fallopian tubal adhesion and salpingostomy under laparoscopy, in the treatment of the tubal infertility. Methods This retrospective study of 175 patients with tubal infertility is to analyze the pregnancy rate and relative prognostic factors. All patients who underwent laparoscopy lysis and fallopian tubal adhesion and salpingostomy were hospitalised and treated in the department of obstetrics and gynecology in the 903 hospital. The clinical information of 175 patients was studied and the follow-up time was 12 - 24 months. Results The total pregnancy rate after the operations was 48.5% （85/175）, 5 cases were abortion; the rate of normal uterine pregnancy was 46.2% （81/175）, 72 cases were term delivery, 1 case preterm delivery, 3 cases were pregnant, 4 cases were ectopie pregnancy, the rate of ectopic pregnancy was 2. 2% （4/175）. The extent of tubal lesion before the operations is the most important prognostic factor, which can influence the prognosis of the operation. Conclusion The effective method for treating mild to moderate tubal lesion can take replace of tube normal anatomical position and improve the chance of pregnancy.
出处
《川北医学院学报》
CAS
2009年第6期594-596,共3页
Journal of North Sichuan Medical College
关键词
腹腔镜
输卵管性不孕
妊娠率
Laparoscopy
Tubal infertility
Pregnancy rate
