摘要
目的分析妇产科腹腔镜治疗输卵管梗阻性不孕症70例患者的有效率。方法该院妇产科在2017年1月—2019年10月期间共计收治70例输卵管梗阻性不孕症患者,将其作为该次研究的观察对象,并采用计算机将患者随机分为观察组和对照组,对照组采用常规手术治疗,观察组应用腹腔镜手术治疗,对比两组患者的手术指标、治疗效果及复发率。结果观察组患者术中出血量、手术时间、排气时间以及住院时间分别为(21.65±5.62)mL、(51.82±10.28)min、(32.18±2.52)h、(5.08±1.44)d,其数据较之于对照组差异有统计学意义(t=11.295、7.935、15.987、9.168,P<0.05);观察组患者的治疗总有效率97.14%(34例)较之于对照组的94.29%(33例)差异无统计学意义(χ^2=0.348,P>0.05);观察组患者未见复发,对照组复发率为11.43%(4例),复发率数据差异有统计学意义(χ^2=4.242,P<0.05)。结论妇产科腹腔镜治疗输卵管梗阻性不孕症疗效显著,复发率较低,而且手术操作简单,损伤较小,术后恢复更快。
Objective To analyze the effectiveness of gynecological and obstetric laparoscopy in the treatment of 70 cases of tubal obstructive infertility.Methods A total of 70 patients with tubal obstruction infertility were treated in the obstetrics and gynecology department from January 2017 to October 2019,and they were used as the observation object of this study.The patients were randomly divided into observations by computer.The control group was treated with conventional surgery.The observation group was treated with laparoscopic surgery.The surgical indicators,treatment effects and recurrence rate of the two groups were compared.Results The intraoperative blood loss,operation time,exhaust time,and length of stay in the observation group were(21.65±5.62)mL,(51.82±10.28)min,(32.18±2.52)h,and(5.08±1.44)d.The data was statistically significantly different from the control group(t=11.295,7.935,15.987,9.168,P<0.05);the total effective rate of treatment in the observation group was 97.14%(34 cases)compared with 94.29%(33 cases)in the control group.There was no statistical significant difference(χ^2=0.348,P>0.05);no recurrence was observed in the observation group,the recurrence rate in the control group was 11.43%(4 cases),and the recurrence rate data were significantly different(χ^2=4.242,P<0.05).Conclusion Obstetrics and gynecology laparoscopy is effective in treating tubal obstructive infertility,with a low recurrence rate,simple operation,less injury,and faster postoperative recovery.
作者
张存虎
ZHANG Cun-hu(Department of Obstetrics and Gynecology,Yanggu County People's Hospital,Yanggu,Shandong Province,252300 China)
出处
《系统医学》
2020年第10期1-3,共3页
Systems Medicine
关键词
妇产科
腹腔镜
输卵管梗阻性不孕症
临床疗效
安全性
Obstetrics and Gynecology
Laparoscopy
Fallopian tube obstructive infertility
Clinical efficacy
Safety
