宫腹腔镜联合cook导丝治疗输卵管性不孕症  

COOK guide wire treatment of tubal infertility by hysteroscope combined with laparoscope

作　　者：赵玲[1] 江道龙 

机构地区：[1]四川省德阳市第二人民医院妇产科,四川德阳618000

出　　处：《中国内镜杂志》2012年第12期1320-1322,共3页China Journal of Endoscopy

摘　　要：目的探讨宫腹腔镜联合cook导丝治疗输卵管性不孕症的临床价值。方法对96例输卵管性不孕症患者行宫腹腔镜联合cook导丝介入术疏通输卵管,观察术中梗阻情况、术后复通率和妊娠率。结果①192条输卵管中136条完全梗阻,56条不完全梗阻;120条近端梗阻,72条远端梗阻;②总复通率为90.6%;完全梗阻和不完全梗阻的复通率分别为89.6%和91.9%;近端和远端梗阻复通率分别为95.0%和83.3%;③2年内总妊娠率为55.2%,近端梗阻的妊娠率大于远端梗阻,完全梗阻和不完全梗阻的术后妊娠率差异无显著性。结论宫腹腔镜联合cook导丝手术治疗输卵管性不孕症具有良好的临床效果,尤其对于近端输卵管阻塞的治疗效果最佳。【Objective】To investigate the clinical value of COOK guide wire treatment of tubal infertility by hysteroscope combined with laparoscope. 【Methods】96 tubal infertility cases with COOK guide wire were treated under hysteroscope combined with laparoscope.【Results】① 136 tubal complete obstruction and 56 incomplete obstruction, while 120 proximal obstruction and 72 distal obstruction. ② Total recanalization rate was 90.6%; Complete obstruction and incomplete obstruction of recanalization rates were 89.6% and 91.9%; proximal and distal obstruction recanalization rates were 95% and 83.3%. ③ Total pregnancy rate was 55.2% within two years; Proximal obstruction in pregnancy rate was greater than the distal obstruction, and the pregnancy rate of complete obstruction and incomplete obstruction postoperative was not significantly different. 【Conclusions】COOK guide wire treatment of tubal infertility by hysteroscope combined with laparoscope has good clinical effect, especially for the proximal tubal occlusion with the optimal treatment outcome.

关 键 词：宫腹腔镜 COOK导丝 输卵管性不孕 

分 类 号：R713.5[医药卫生—妇产科学]