输卵管结扎后行腹腔镜复通术与开腹复通术对再次妊娠率的影响  

Effects of laparoscopic and laparotomy recanalization on the rate of repregnancy after tubal ligation

作　　者：刘丽红 LIU Lihong(Gynecology Department,the People's Hospital of Tangyin County,Anyang 456150,China)

机构地区：[1]河南省安阳市汤阴县人民医院妇科,河南安阳456150

出　　处：《临床医学研究与实践》2020年第33期95-96,105,共3页Clinical Research and Practice

摘　　要：目的分析输卵管结扎后行腹腔镜复通术与开腹复通术对再次妊娠率的影响。方法选取我院收治的76例输卵管结扎患者,依照手术治疗方案将其分为对照组(38例,开腹复通术)与试验组(38例,腹腔镜复通术)。比较两组的手术相关指标、并发症发生情况、治疗效果及再次妊娠情况。结果试验组的手术时间、下床活动时间及住院时间均短于对照组,术后12 h疼痛评分明显低于对照组(P<0.05)。试验组的并发症总发生率为7.89%,略低于对照组的15.79%(P>0.05)。试验组的治疗总有效率、再次妊娠率高于对照组(P<0.05)。结论输卵管结扎患者采用腹腔镜复通术的治疗效果更好,可有效提高再次妊娠率。Objective To analyze the effects of laparoscopic and laparotomy recanalization on the rate of repregnancy after tubal ligation.Methods A total of 76 patients with tubal ligation treated in our hospital were divided into control group(38 cases,laparotomy recanalization)and experimental group(38 cases,laparoscopic recanalization)according to the surgical treatment plan.The operation related indexes,complications,treatment effect and repregnancy of the two groups were compared.Results The operation time,time to get out of bed and hospitalization time in the experimental group were shorter than those in the control group,and the pain score at 12 h after operation was significantly lower than that in the control group(P<0.05).The total incidence of complications in the experimental group was 7.89%,which was slightly lower than 15.79%in the control group(P>0.05).The total effective rate of treatment and the rate of repregnancy in the experimental group were higher than those in the control group(P<0.05).Conclusion Laparoscopic recanalization has better therapeutic effect in patients with tubal ligation,it can effectively improve the rate of repregnancy.

关 键 词：输卵管结扎 腹腔镜复通术 开腹复通手术 再次妊娠 

分 类 号：R713[医药卫生—妇产科学]