腹腔镜用于输卵管远端阻塞性不孕症患者中的临床效果  

Clinical Effect of Laparoscopy in Patients with Distal Tubal Obstruction Infertility

作　　者：马宏莉 MA Hong-li(Department of Gynecology,Liangshan County People's Hospital,Liangshan,Shandong Province,272600 China)

机构地区：[1]梁山县人民医院妇科

出　　处：《系统医学》2019年第20期122-124,共3页Systems Medicine

摘　　要：目的探讨腹腔镜在输卵管远端阻塞性不孕症临床治疗中的应用效果。方法以该院于2018年1月-2019年1月期间收治的94例输卵管远端阻塞性不孕患者为研究对象,遵循随机双盲法则分为两组,即对照组(47例)与试验组(47例);对照组临床治疗采用传统传统输卵管疏通术,试验组临床治疗采用腹腔镜输卵管疏通术,比对分析两组患者的术中出血量、手术时间、首次排气时间、住院时间以及输卵管通畅率、妊娠成功率。结果试验组术中出血量低于对照组,手术时间、首次排气时间与住院时间均短于对照组,即对应数据差异有统计学意义(P<0.05);试验组输卵管通畅率为91.49%,妊娠成功率为72.34%,对照组输卵管通畅率为63.83%,妊娠成功率为46.81%,比较相应数据,组间差异有统计学意义(χ^2=10.363、6.391,P<0.05)。结论腹腔镜在输卵管远端阻塞性不孕症临床治疗中具有较为显著的应用价值,不仅创伤小,有利于患者早期康复,而且可以提高输卵管通畅率与妊娠成功率,临床应积极推广使用。Objective To investigate the effect of laparoscopy in the clinical treatment of obstructive infertility in the distal fallopian tube.Methods 94 patients with distal tubal obstruction infertility admitted to the hospital from January2018 to January 2019 were enrolled in the study.They were divided into two groups according to the random doubleblind rule,namely the control group(47 cases)and the trial group(47 cases);the traditional treatment of the control group used traditional traditional tubal dredge,the experimental group of clinical treatment using laparoscopic tubal dredge,comparative analysis of the two groups of patients with intraoperative blood loss,operation time,first exhaust time,hospital stay and the fallopian tube patency rate,pregnancy success rate.Results The intraoperative blood loss was lower in the experimental group than in the control group.The operation time,the first exhaust time and the hospitalization time were shorter than the control group,that is,the corresponding data were statistically significant(P<0.05).The fallopian tube patency rate was 91.49%.The pregnancy success rate was 72.34%,the control group’s fallopian tube patency rate was 63.83%,and the pregnancy success rate was 46.81%.Comparing the corresponding data,the difference between the groups was statistically significant(χ^2=10.363,6.391,P<0.05).Conclusion Laparoscopy has significant application value in the clinical treatment of obstructive infertility in the distal fallopian tube.It is not only minimally invasive,but also beneficial to early rehabilitation of the patient.It can also improve the patency rate of the fallopian tube and the success rate of pregnancy.It should be actively promoted and used clinically.

关 键 词：腹腔镜 输卵管远端阻塞性不孕 输卵管通畅率 妊娠成功率 手术效果 

分 类 号：R828.2[医药卫生—临床医学]