腹腔镜治疗盆腔粘连输卵管远端阻塞146例临床分析  

Laparoscopy in Treatment of Distal Salpingemphraxis and Adhesion in Pelvic Cavity(Report of 146 Cases)

作　　者：葛华[1] 洪高明[1] 

机构地区：[1]包头医学院第一附属医院妇产科,内蒙古包头014010

出　　处：《内蒙古医学杂志》2006年第11期1012-1013,共2页Inner Mongolia Medical Journal

摘　　要：目的:评价腹腔镜输卵管造口、粘连分解等手术治疗盆腔粘连输卵管远端阻塞性不孕的疗效。方法:腹腔镜下分离粘连,恢复解剖结构,并进行伞端成形术、袖口状造口术及病灶清除术等综合治疗。结果:输卵管远端造口91例,行粘连分离等其它输卵管重建术55例。合并多囊卵巢打孔24例,子宫内膜异位症病灶清除9例,子宫小肌瘤剔除3例,输卵管系膜囊肿剔除术2例。手术结束前腹腔镜下通液,双侧输卵管通畅117例,单侧通畅29例。术后随访2年,宫内妊娠率47.26%(69/146),宫外孕7.53%(11/146)。结论:腹腔镜手术治疗盆腔粘连输卵管远端阻塞性不孕有效,但宫外孕的高发生率值得关注。Objective： To evaluate the effect of laparoscopy on infertility induced by distal salpingemphraxis and adhesion in pelvic cavity. Methods： The adhesion was dissected by laparoscopy, combined with salpingostomy, cystectomy, removal of lesion. Results： 91 cases performed salpingostomy, 55 dissection or removal of lesion, The bilateral uterine tubes were unobstructed in 117 cases, and the single uterine tube was unobstructed in 29 cases. Followed up 2 years, the rate of intra uterine pregnancy was 47,26 96, that of metacyesis was 7.53 96, Conclusion： Laparoscopy is effective in treating infertility induced by distal salpingemphraxis and adhesion in pelvic cavity. The higher occurence of metacyesis should be wared.

关 键 词：腹腔镜 不育 输卵管造口 

分 类 号：R713.7[医药卫生—妇产科学]