摘要
目的探讨支原体感染致输卵管性不孕症临床特征及腹腔镜手术治疗效果.方法将接受腹腔镜手术治疗的114例输卵管性不孕症患者依据是否伴有支原体感染分为两组,将宫颈分泌物检查支原体阳性的55例患者设为观察组,无支原体感染病史的59例患者设为对照组,比较两组临床特征、术后输卵管通畅度及妊娠情况.结果观察组输卵管外观形态正常率、与盆腔无粘连率、双侧输卵管障碍发生率均显著高于对照组(P<0.01),输卵管梗阻部位与对照组比较差异无统计学意义(P>0.05).114例患者腹腔镜术后输卵管疏通148条,输卵管通畅率为71.8%;术后1年妊娠率为49.1%.结论支原体感染致输卵管性不孕症患者输卵管外形无明显变化、输卵管与盆腔粘连程度较轻、多伴有双侧输卵障碍等,腹腔镜手术诊治效果显著,有利于促进患者术后受孕.
Objective To observe the clinical characteristics of tubal infertility caused by mycoplasma in-fection and curative effect of laparoscopic surgery. Methods 114 patients with oviductive infertility re-ceived laparoscopic surgery were divided into two groups according to whether combined with mycoplasma infection. 55 patients with positive mycoplasma in cervical secretion examination were taken as observation group, and 59 patients without history of mycoplasma infection were taken as control group. The clinical features, postoperative tubal patency and pregnancy in the two groups were observed. Results The nor-mal appearance rate of the fallopian tube, the non-adhesion rate with pelvic cavity, and the incidence of bi-lateral fallopian tube obstruction in the observation group were significantly higher than those in the con-trol group (P<0. 01). There was no significant difference in the location of tubal obstruction compared with the control group (P>0. 05). After laparoscopic surgery, 148 fallopian tubes were dredged, the fal-lopian tube patency rate was 71. 8%. The postoperative one-year pregnancy rate was 49. 1%. Conclusion Oviductive infertility caused by mycoplasma infection usually have clinical features such as no obvious changes in the shape of fallopian tube, the slight degree of adhesion between the fallopian tube and pelvis, and combined with bilateral fallopian tube obstruction. The diagnosis and treatment of laparoscopic surger-y is effective, which is conducive to promoting postoperative pregnancy.
作者
杨艳方
吴延红
谢华
Yang Yanfang;Wu Yanhong;Xie Hua(Henan Institute of Population and Family FLanning Science and Technology,Zhengzhou 450000, Henan ,China)
出处
《临床心身疾病杂志》
CAS
2019年第5期147-149,158,共4页
Journal of Clinical Psychosomatic Diseases
关键词
输卵管性不孕症
支原体感染
腹腔镜手术
临床特征
术后妊娠
Tubal infertility
mycoplasma infection
laparoscopic surgery
clinical features
postoperative pregnancy
