经宫腔镜输卵管栓堵术的临床应用研究

发布时间：2018-06-22 03:24

本文选题：输卵管栓堵术 + 输卵管性不孕　；参考：《实用妇产科杂志》2017年09期

【摘要】：目的:研究经宫腔镜输卵管栓堵术的安全性、有效性以及卫生经济学效益,综合评价其在输卵管积水预处理中的临床应用价值。方法:收集2012年8月至2017年3月在贵州医科大学附属医院及附属白云医院就诊的输卵管性不孕患者共120例,其中行宫腔镜下输卵管栓堵术82例为研究组(A组),行腹腔镜下输卵管切除或结扎术38例为对照组(B组),所有患者入院均经详细医患沟通后自愿选择相应手术治疗,于患者术前、术中、术后采集相关资料并行统计分析。结果:手术成功率A组98.39%、B组100%,差异无统计学意义(P0.05);围手术期并发症发生率A组1.22%、B组10.53%,差异有统计学意义(P0.05);A组手术时间、术中出血量、住院时间、住院费用、手术费用均少于B组,差异均有统计学意义(P0.01)。A组术后复查有效率为97.98%。结论:经宫腔镜输卵管栓堵术与腹腔镜下输卵管切除或结扎术相比,手术成功率相似,手术时间短、术中出血少、围手术期并发症发生率低,手术安全性更好,而且该手术患者住院时间短、住院费用低、手术费用低,具有良好的卫生经济学效益。
[Abstract]:Objective: to study the safety, efficacy and economic benefit of hysteroscopic tubal embolization, and to evaluate the clinical value of hysteroscopic tubal embolization in the preconditioning of hydrosalpinx. Methods: a total of 120 patients with tubal infertility were collected from August 2012 to March 2017 in affiliated Hospital and affiliated Baiyun Hospital of Guizhou Medical University. Among them, 82 cases were treated with hysteroscopic tubal embolization (group A) and 38 cases with laparoscopic salpingotomy or ligation (group B). During and after operation, relevant data were collected and analyzed. Results: the success rate of operation in group A was 98.39% and the difference was not statistically significant (P0.05), and the incidence of perioperative complications in group A was 10.53 (P0.05), the difference was statistically significant (P0.05), including the time of operation, the amount of blood lost during operation, the time of hospitalization, the cost of hospitalization, and the incidence of complications in group A (P 0.05). The cost of operation was lower than that of group B, the difference was statistically significant (P0.01). The effective rate of postoperative reexamination in group A was 97.98. Conclusion: compared with laparoscopic salpingotomy or ligation, transhysteroscopic tubal embolization has the advantages of similar success rate, shorter operative time, less intraoperative bleeding, lower incidence of perioperative complications and better safety. Moreover, the operation has the advantages of short hospitalization time, low hospitalization cost and low operation cost.
【作者单位】：贵州医科大学附属医院;贵州医科大学附属白云医院;
【分类号】：R711.6

【相似文献】