微型腹腔镜器械治疗输卵管性不孕的临床分析  

A clinical analysis of mini- laparoscopic instruments in treatment of tubal infertility

作　　者：曹小娟[1] 黄浩[1] 王东杰[1] 文仲勇[1] 王小婕[1] 李莉芳[1] 胡碧洪[1] 黄诗敏[1] 何海[1] 

机构地区：[1]南方医科大学附属南海医院妇产科,广东佛山528200

出　　处：《中国计划生育和妇产科》2015年第6期12-15,共4页Chinese Journal of Family Planning & Gynecotokology

摘　　要：目的 探讨微型腹腔镜器械治疗输卵管性不孕的临床应用价值。方法 选取2011~2013年南方医科大学附属南海医院收治的102例输卵管性不孕患者的临床资料,其中54例患者使用微型腹腔镜器械手术纳入微械组,48例使用普通腹腔镜器械手术患者纳入普械组,对比分析两组患者术后妊娠情况。结果微械组术后总妊娠率、宫内妊娠率及活产率[44.4%（24/54）、42.6%（23/54）、38.9%（21/54）]均高于普械组[25.0%（12/48）、18.8%（9/48）、16.7%（8/48）]（P〈0.05）;微械组轻、中度输卵管病变患者的宫内妊娠率[64.7%（11/17）、41.7%（10/24）]明显高于普械组[25.0%（4/16）、18.2%（4/22）]（P〈0.05）。结论 使用微型腹腔镜器械治疗轻、中度输卵管性不孕能提高术后宫内妊娠率。Objective To explore the clinical application value of micro -laparoscopic instrument in treatment of tubal infertility.Methods Clinical data of 102 patients with tubal infertility in Nanhai Hospital Affiliated to The South Medical University during 2011 to 2013 was collected.All cases were divided into micro instruments group （n=54） and ordinary instrument group （n=48） according to the different surgical instruments.The postoperative pregnancy outcomes of two groups were analyzed.Results The total postoperative pregnancy rate, intrauterine pregnancy rate and live birth rate of micro instruments group [ 44.4 % （ 24/54 ） , 42.6 %（23/54）, 38.9 %（21/54）] were higher than that of ordinary instrument group[25.0 % （12/48）, 18.8 % （9/48）, 16.7 %（8/48）]（P〈0.05）.The intrauterine pregnancy rate of patients with mild and moderate tubal lesion in micro instruments grou p[64.7 %（11/17）, 41.7 % （10/24）] were significantly higher than that of ordinary instrument group[25.0 % （4/16）, 18.2 %（4/22）] （P〈0.05）.Conclusion The micro-laparoscopic instruments is effective on mild and moderate tubal infertility, which can improve postoperative intrauterine pregnancy rate.

关 键 词：腹腔镜 微型 输卵管 不孕 妊娠 

分 类 号：R713.5[医药卫生—妇产科学]