摘要
目的探讨腹腔镜辅助微创直视下输卵管伞端造口术的临床应用价值。方法对2004年1月至2009年6月在我院行腹腔镜辅助直视下输卵管伞端造口术(改良组)和传统腹腔镜下输卵管伞端造口术(对照组)治疗的各50例输卵管性不孕患者的临床资料和术后3个月行子宫输卵管碘油造影观察术侧输卵管的通畅情况以及随访2年进行患者妊娠及妊娠结局的情况进行对比分析。结果 1)改良组手术时间短于对照组,但差异不明显,出血量少于对照组,差异有统计学意义;2)改良组输卵管通畅情况优于对照组,有统计学意义;3)随访2年后患者妊娠及妊娠结局情况比较,改良组的正常妊娠率和足月分娩率高于对照组,差异有统计学意义,异位妊娠率、流产率、不孕率与对照组比较差异无统计学意义。结论腹腔镜辅助直视下输卵管伞端造口术保留了微创手术的特点,并具有操作更加简便、快捷,并发症少及术后再度阻塞机率小,术后正常妊娠分娩率高的优势,适用于所有输卵管伞端阻塞的患者的手术治疗,值得广泛推广。
【Objective】 To explore the clinical application value of laparoscopic assisted minimally invasive surgery of the fallopian tube umbrella end colostomy.【Methods】 During 2004 January to 2009 June laparoscopic assisted minimally surgery fallopian tube umbrella end colostomy（control group） in our hospital and the traditional laparoscopic tubal fimbria end colostomy（control group） treatment 50 cases of tubal infertility patients with the clinical data and postoperative 3 months does womb fallopian tube iodine contrast observation of the oil side fallopian tube patency and follow up of 2 years for patients with pregnancy and pregnancy outcome of the condition carries on the contrast analysis.【Resluts】1） The improvement group operation time is shorter than the control group,no significant difference,bleeding amount less than that in the control group,there were significant differences;2）The improvement group tubal patency than those in the control group,there were statistically significant;3）After 2 years of followup of patients with pregnancy and pregnancy outcome comparison,improvement group of normal pregnancy rate and term birth rate is higher than the control group,there were significant differences,ectopic pregnancy rate,miscarriage rate,infertility rate compared with the control group,no significant difference.【Conclusion】Laparoscopic assisted minimally surgery of the fallopian tube umbrella end colostomy retained the minimally invasive operation characteristic,and has the operation more convenient,fast,less complications and postoperative again blocking probability is small,after normal childbirth rate high strengths,applicable to all tubal fimbria obstruction in patients with operation treatment,and is worthy of popularization.
出处
《中国医学工程》
2012年第9期16-17,共2页
China Medical Engineering
关键词
腹腔镜
直视
输卵管伞端造口术
laparoscopy
open
fallopian tube fimbriae neostomy
