宫腹腔镜治疗输卵管积水的临床效果  

The clinical effect of hysteroscopy-laparoscopy in the treatment of hydrosalpinx

作　　者：樊李平[1] 李晓红[1] 李瑾[1] 李慧[1] 

机构地区：[1]暨南大学医学院附属宝安妇幼保健院生殖健康科,广东深圳518000

出　　处：《中国当代医药》2017年第20期116-118,共3页China Modern Medicine

摘　　要：目的探讨宫腹腔镜治疗输卵管积水的临床效果。方法选取2011年1月~2015年10月我院收治的104例育龄期妇女患者作为研究对象,采用随机抽签分组方法分为对照组(n=40)和观察组(n=64)。观察组行腹腔镜下输卵管造口术,对照组行腹腔镜下输卵管切除术。比较两组的总有效率和妊娠结局[包括宫内妊娠、异位妊娠、自然宫内妊娠、体外受精联合胚胎移植技术(IVF)]以及复发率。结果两组总有效率比较,差异无统计学意义(P>0.05);观察组的自然宫内妊娠、异位妊娠、IVF比率及复发率与对照组比较,差异有统计学意义(P<0.05);观察组宫内妊娠与对照组比较,差异无统计学意义(P>0.05)。结论宫腹腔镜治疗输卵管积水可提高术后妊娠率,改善妊娠结局,值得临床实施。Objective To investigate the clinical effect of hysteroscopy-laparoscopy in the treatment of hydrosalpinx. Methods From January 2011 to October 2015,104 cases of women with reproductive age in our hospital were selected and livided into control group （n=40） and observation group （n=64） by random lottery grouping method.The observation group was given laparoscopic salpingostomy,the control group was given laparoscopic salpingectomy.The total effectiveness,the pregnancy outcome [including uterine pregnancy,ectopic gestation,natural intrauterine pregnancy and in vitro fertilization embryo transfer technology （IVF）],and the recurrence rate of the two groups were compared.Results The total effectiveness in the two groups had no statistically significant difference （P〉0.05）.The proportion of natural intrauterine pregnancy,ectopic pregnancy,IVF ratio and recurrence rate in the observation group compared with the control group,the difference was statistically （P〈0.05）.Comparison results of uterine pregnancy in observation group and control group showed that difference was not statistically significant （P〉0.05）.Conclusion The uterine hysteroscopy-laparoscopy treatment of hydrosalpinx can improve the postoperative pregnancy rate and improve the outcome of pregnancy,which is worth the clinical practice.

关 键 词：宫腹腔镜 输卵管积水 临床疗效 妊娠结局 

分 类 号：R714.224[医药卫生—妇产科学]