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宫腹腔镜手术治疗输卵管阻塞性不孕症的临床价值 被引量:1

Clinical value of hysteroscopic and laparoscopic surgery in the treatment of tubal obstructive infertility
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摘要 目的对输卵管阻塞性不孕症患者予以宫腹腔镜手术治疗,分析宫腹腔镜手术治疗对患者术后通畅率的影响。方法选择本院输卵管阻塞性不孕症患者200例,选择时间于2015年2月~2017年2月,行不同的治疗措施:宫腹腔镜手术治疗、常规开腹手术治疗,对应组别:研究组、对照组。经SPSS21.0系统分析组间的输卵管通畅率、受孕率、术中出血量、排气时间、受孕时间和治疗前后的生活质量评分。结果研究组的输卵管通畅率(96.00%)、受孕率(83.00%)均高于对照组(输卵管通畅率:66.00%、受孕率:60.00%),且研究组的术中出血量(31.11±15.55)mL、排气时间(35.55±20.77)h、受孕时间(7.11±1.1)个月均短于对照组[术中出血量:(45.56±12.22)mL、排气时间:(49.99±15.55)h、受孕时间:(14.44±5.11)个月],差异有统计学意义(P <0.05);研究组生活质量评分为:(87.56±5.32)分,高于对照组患者的生活质量评分为:(70.77±5.66)分,差异有统计学意义(P <0.05)。结论对输卵管阻塞性不孕症患者予以宫腹腔镜手术治疗,能够提高患者的输卵管通畅率和受孕率,降低患者的术中出血量,缩短患者的排气时间和受孕时间。 Objective To perform hysteroscopic and laparoscopic surgery on patients with tubal obstructive infertility and analyze the effect of hysteroscopic and laparoscopic surgery on postoperative patency rate.Methods 200 cases with tubal obstructive infertility in our hospital from February 2015 to February 2017 were selected.They were taken different treatment measures:hysteroscopic and laparoscopic surgery,conventional open surgery,corresponding groups:the study group and the control group.The tubal patency rate,pregnancy rate,intraoperative bleeding volume,exhaust time,pregnancy time and quality of life score before and after treatment were analyzed by SPSS21.0 system.Results The tubal patency rate(96.00%)and pregnancy rate(83.00%)of the study group were higher than the control group(tubal patency rate was 66.00%and pregnancy rate was 60.00%),and the intraoperative bleeding volume[(31.11±15.55)mL],exhaust time[(35.55±20.77)h]and pregnancy time[(7.11±1.1)months]of the study group were shorter than the control group[intraoperative bleeding volume was(45.56±12.22)mL,exhaust time was(49.99±15.55)h,pregnancy time was(14.44±5.11)months],the differences were significant(P<0.05).The quality of life score of the study group was(87.56±5.32)points,which was higher than the control group[(70.77±5.66)points],the difference was statistically significant(P<0.05).Conclusion Hysteroscopic and laparoscopic surgery in the treatment of tubal obstructive infertility can improve tubal patency and pregnancy rate,reduce intraoperative bleeding,shorten exhaust time and pregnancy time.
作者 李军煜 LI Junyu(Department of Obstetrics and Gynecology,Foshan Maternal and Child Health Hospital,Foshan 528000,China)
出处 《中国医药科学》 2019年第6期215-217,共3页 China Medicine And Pharmacy
关键词 宫腹腔镜手术 输卵管阻塞性不孕症 术后 通畅率 影响分析 Hysteroscopic and laparoscopic surgery Tubal Obstructive Infertility Postoperative Patency rate Influence analysis
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