宫、腹腔镜联合诊治输卵管性不孕症改进手术方法后的妊娠结局

发布时间：2019-03-19 13:13

【摘要】：目的探讨宫、腹腔镜联合治疗输卵管性不孕的手术方法改进后的妊娠结局。方法 2007年1月~2010年12月77例因输卵管因素导致的不孕接受传统宫、腹腔腔镜联合治疗(传统组),并与2011年1月~2014年1月138例输卵管性不孕症接受改进手术方法的宫、腹腔镜联合治疗(改进组)进行回顾性比较,电话随访了解术后妊娠情况。结果 2组均在宫、腹腔镜下顺利完成手术。改进组术中输卵管通畅情况显示通畅203条,通而不畅44条,不通27条;传统组通畅101条,通而不畅23条,不通30条,2组比较比较有统计学意义(Z=-2.189,P=0.029)。改进组术后1年内宫内自然妊娠率74.3%(101/136),显著高于传统组59.7%(46/77)(χ2=4.850,P=0.028)。结论宫、腹腔镜改进手术技巧诊治输卵管性不孕可提高复通率和复孕率,是输卵管性不孕症理想的诊治手段,值得推广。
[Abstract]:Objective to investigate the pregnancy outcome of combined hysteroscopy and laparoscopy in the treatment of tubal infertility. Methods from January 2007 to December 2010, 77 cases of infertility due to fallopian tube factors were treated with traditional hysteroscopy combined with laparoscopy (traditional group), and 138 cases of salpingial infertility received improved operation from January 2011 to January 2014. Laparoscopic combined therapy (modified group) was retrospectively compared, and telephone follow-up was conducted to find out the pregnancy after operation. Results the operation was performed successfully in both groups under laparoscopy. The patency of fallopian tubes in the improved group was 203, 44 and 27 in the improved group, and 101, 23 and 30 in the traditional group, respectively. There was significant difference between the two groups (Z = 2.189, P = 0.029). The intrauterine natural pregnancy rate in the modified group was 74.3% (101 / 136) within one year after operation, which was significantly higher than that in the traditional group (59.7% (46 / 77) (蠂 2 = 4.850, P = 0.028). Conclusion the improved technique of hysteroscopy and laparoscopy in the diagnosis and treatment of tubal infertility can improve the rate of recanalization and pregnancy. It is an ideal method for diagnosis and treatment of salpingial infertility, and it is worth popularizing.
【作者单位】：江苏大学临床医学院;南京医科大学第二附属医院妇产科;
【分类号】：R711.6

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