两种防粘连剂在腹腔镜诊治不孕症中的疗效比较  

COMPARISON OF TWO KINDS OF ANTIBLOCK AGENTS ON THE INFERTILE PATIENTS TREATED WITH LAPAROSCOPY

作　　者：李艳[1] 杜江平[2] 柯小宁[1] 

机构地区：[1]河北峰峰集团公司总医院邯郸医院,邯郸056002 [2]河北工程大学临床医学院

出　　处：《现代预防医学》2008年第22期4358-4359,共2页Modern Preventive Medicine

基　　金：邯郸市科学技术研究与发展计划项目课题(072317061-7)

摘　　要：[目的]探讨腹腔镜诊治女性不孕症时,透明质酸和低分子右旋糖酐的防粘连效果。[方法]透明质酸组(T组):32例,术中应用透明质酸局部涂抹并注入输卵管。低分子右旋糖酐组(D组):24例,术中用低分子右旋糖酐。对照组(K组):30例,用生理盐水。术后6个月随访,观察两组病例输卵管通畅情况与受孕率。[结果]T组、D组与K组比较,妊娠率与输卵管阻塞率有统计学差异。T组与D妊娠率比较,有统计学差异。T组与D组输卵管阻塞率比较,无统计学差异。[结论]在腹腔镜诊治不孕症中,透明质酸较低分子右旋糖酐防粘连效果理想。[Objective ] To explore the effect of hyaluronic acid and low molecular dextran on the infertile patients treated with laparoscopy. [Methods] 32 patients in hyaluronic acid group （T group） were treated by hyaluronic acid during laparoscopic treatment, and 24 patients in low molecular dextran group （D group） treated with low molecular dextran, as well as 30 cases in control group （K group） were treated by physiologic saline. After following up for 6 months, the pregnant rates and the unobstructed condition of fallopian tube in two groups were analyzed. [ Results] When compared with K group, the pregnant rates and salpingemphraxis rates of T Group and D group had significantly increased. Also, there was significant difference between the pregnant rates of T group and D group. No significant difference was found between the salpingemphraxis rates of T group and D group. [Conclusion] Hyaluronic acid had better effect on diagnosis of infertilitas feminis by laparoscopy than the low molecular dextran.

关 键 词：防粘连剂 腹腔镜 不孕症 诊断与治疗 疗效评价 

分 类 号：R711.6[医药卫生—妇产科学]