宫腹腔镜联合手术治疗输卵管堵塞患者的应用价值及妊娠成功率观察  

Observation on the application value and pregnancy success rate of combined hysterolaparoscopic surgery for patients with fallopian tube occlusion

作　　者：刘雪莲 LIU Xue-lian(Department of Obstetrics and Gynecology,Second People’s Hospital of Pulandian District(Piyang Central Health Center of Pulandian District),Dalian 116222,China)

机构地区：[1]大连市普兰店区第二人民医院(大连市普兰店区皮杨中心卫生院)妇产科,116222

出　　处：《中国现代药物应用》2022年第5期41-44,共4页Chinese Journal of Modern Drug Application

摘　　要：目的观察宫腹腔镜联合手术治疗输卵管堵塞患者的应用价值及妊娠成功率。方法160例输卵管堵塞患者,依据病案号单双数分为对照组(单数)与实验组(双数),各80例。对照组采用腹腔镜手术,实验组采用宫腹腔镜联合手术。对比两组临床指标、输卵管复通率及妊娠成功率。结果实验组手术时间(67.33±6.87)min长于对照组的(48.44±6.73)min,术中出血量(33.45±6.43)ml多于对照组的(29.45±5.32)ml,差异有统计学意义(P<0.05)。实验组输卵管复通率为92.50%,高于对照组的47.50%,差异有统计学意义(P<0.05)。实验组妊娠成功率为42.50%,高于对照组的25.00%,差异有统计学意义(P<0.05)。结论宫腹腔镜联合手术治疗输卵管堵塞可有效提高输卵管复通率及妊娠成功率,值得临床推广应用。Objective To observe the application value and pregnancy success rate of combined hysterolaparoscopic surgery for patients with fallopian tube occlusion.Methods A total of 160 patients with fallopian tube occlusion were divided into control group(odd number)and experimental group(even number)according to the odd and even number of medical records,with 80 cases in each group.The control group was treated with laparoscopic surgery,while the experimental group was treated with combined hysterolaparoscopic surgery.The clinical indicators,tubal recanalization rate and pregnancy success rate were compared between the two groups.Results The operation time(67.33±6.87)min of the experimental group was longer than(48.44±6.73)min of the control group,and the intraoperative blood loss(33.45±6.43)ml was more than(29.45±5.32)ml of the control group,and the difference was statistically significant(P<0.05).The tubal recanalization rate 92.50% in the experimental group was higher than 47.50% in the control group,and the difference was statistically significant(P<0.05).The pregnancy success rate 42.50% of the experimental group was higher than 25.00% of the control group,and the difference was statistically significant(P<0.05).Conclusion Combined hysterolaparoscopic surgery for the treatment of fallopian tube occlusion can effectively improve the tubal recanalization rate and pregnancy success rate,and is worthy of clinical promotion and application.

关 键 词：宫腹腔镜联合手术 输卵管堵塞 输卵管复通 妊娠成功 

分 类 号：R713.5[医药卫生—妇产科学]