妇科内镜治疗女性先天性生殖道畸形患者的治疗效果及对妊娠影响研究  

The effect of gynecological endoscopy in the treatment of female congenital genital tract malformation and its influence on pregnancy

作　　者：袁迎九[1] 后建丽[1] 丁文清[1] 

机构地区：[1]深圳市龙岗区妇幼保健院妇科,广东深圳518172

出　　处：《中国医药科学》2017年第24期110-113,共4页China Medicine And Pharmacy

摘　　要：目的探讨先天性生殖道畸形女性经妇科内镜治疗后的临床效果和对妊娠结局影响的研究。方法回顾性选取2013年1月~2016年1月我院收治的先天性生殖道畸形女性患者120例,根据治疗术式不同分为两组,对照组60例患者采取传统开腹手术治疗;研究组的60例患者采取妇科内镜治疗。比较两组患者的治疗有效率和术后并发症发生率,在术后随访患者的妊娠情况。结果 (1)研究组患者的痛经症状5例(8.33%)、月经量异常4例(6.67%)、阴道或下腹包块2例(3.33%)性生活困难3例(5.00%)均明显少于对照组患者差异有统计学意义(P<0.05);(2)研究患者的治疗总有效率为93.33%明显高于对照组,而术后并发生的发生率5.00%明显低于对照组,差异有统计学意义(P<0.05);(3)研究组患者成功妊娠41例(68.33%)与对照组患者的40例(66.67%)差异无统计学意义(P>0.05);其发生胎位异常3例(5.00%)、异常流产2例(3.33%)、宫外孕1例(1.67%)、死胎2例(3.33%)等妊娠情况则明显低于对照组,差异有统计学意义(P<0.05)。结论妇科内镜应用于女性先天性生殖道畸形患者,具有临床治疗效果明显,并发症发生率低的特点,对患者良好妊娠结局有积极的作用,是一种创伤小、安全性高的微创治疗手术。Objective To investigate the clinical effect of gynecological endoscopic in treatment of the women with congenital genital malformation and its influence on pregnancy. Methods One hundred and twenty patients with congenital genital malformation in our hospital from January 2013 to January 2016 were retrospectively selected.They were divided into two groups according to the difference of treatment method.Sixty patients in the control group were treated with traditional open surgery,and 60 patients in the study group were treated with gynecological endoscopic treatment.The total efficiency rates,the incidence of postoperative complications,postoperative follow-up pregnancy of two groups were compared. Results （1）In the study group,dysmenorrhea symptoms in 5 cases（8.33%）,menstrual abnormalities in 4 cases（6.67%）,vaginal or lower abdominal mass in 2 cases（3.33%）,sexual difficulties in 3 cases（5%）,which were significantly less than those in the control group,the difference was statistically significant（P 〈0.05）;（2）The total effective rate of the study group was 93.33%,which was significantly higher than that of the control group,and the incidence of postoperative was 5%,which was significantly lower than that of the control group,the difference was statistically significant（P 〈0.05）;（3）There were 41 cases（68.33%） with successful pregnancy in the study group,and there were 40 cases（66.67%） with successful pregnancy in the control group,The difference was not statistically significant（P 〉0.05）;There were 3 cases of fetal abnormalities（5%）,abnormal abortion in 2 cases（3.33%）,1 cases of ectopic pregnancy（1.67%）,2 cases of stillbirth（3.33%） in the study group,which was significantly lower than those in the control group,the differences was statistically significant（P 〈0.05）. ConclusionThe application of gynecological endoscopy in female patients with congenital genital tract malformation has the characteristics of obvious clinical treatment effect

关 键 词：妇科内镜 先天性生殖道畸形 治疗效果 妊娠结局 

分 类 号：R713.5[医药卫生—妇产科学]