腹腔镜微创输卵管疏通术治疗输卵管远端梗阻性不孕的临床疗效和安全性

刘玉锋1 ，薛芳芳2 ，马远3 ，祁彩珍1

（1.榆林市星元医院妇产科，陕西 榆林，719000；2.吴堡县医院妇产科，陕西 榆林，718000； 3.宁夏医科大学，宁夏 银川，750004）

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摘要：

目的 评价腹腔镜微创输卵管疏通术治疗输卵管远端梗阻性不孕的临床疗效和安全性。方法 本研究将我院收治的90例输卵管远端梗阻性不孕患者随机分为治疗组和对照组，每组45 例。治疗组患者接受腹腔镜微创输卵管疏通术，对照组患 者接受传统开腹手术。比较两组患者的治疗效果。结果 治疗组患者的输卵管总通畅率显著高于对照组患者（P<0.01）。治疗组患者妊娠成功率为71.7%，明显高于对照组的46.7%（χ2=5.5533，P=0.0184）。治疗组患者的手术时间、术后排气时间和住院时间均显著短于对照组，术中出血量少于对照组（P<0.01）。两组患者切口感染、输卵管穿孔、剧烈疼痛发生率比较，无显著差异（P>0.05）。结论 腹腔镜微创输卵管疏通术治疗输卵管远端梗阻性不孕的疗效优于开腹手术治疗。

关键词：不孕症；输卵管梗阻；腹腔镜微创输卵管疏通术

中图分类号：R713 文献标志码：A文章编号：2096-1413(2017)30-0041-02

Clinical effect and safety of laparoscopic minimally invasive tubal recanalization on distal tusal obstructive infertility
LIU Yu-feng 1, XUE Fang-fang 2, MA Yuan 3, QI Cai-zhen 1
(1. Department of Gynaecology and Obstetrics, Xingyuan Hospital, Yulin 719000; 2. Department of Gynaecology and Obstetrics, Wubu County Hospital, Yulin 718000; 3. Ningxia Medical University, Yinchuan 750004, China)

ABSTRACT: Objective To evaluate the clinical effect and safety of laparoscopic tubal reconstructive surgery on distal tubal obstructiv e infertility. Methods Ninety patients with distal tubal obstructive infertility in our hospital were randomly divided into the treatment group and the control group, with 45 cases in each group. The treatment group was given laparoscopic tubal reconstructive surgery, while the control group received traditional open surgery treatment. The treatment effects were compared between the two groups. Results The total fallopian tube unimpeded rate in the treatment group was significantly higher than that of the control group (P<0.01). The pregnancy success rate in the treatment group was 71.7%, which was higher than 46.7% of the control group ( χ2=5.5533, P=0.0184). In the treatment group, the operation time, postoperative exhaust time, hospitalization time were significantly shorter than those of the control group, the intraoperative blood loss was lower than that of the control group (P<0.01). There were no significant differences in the incidence of incision infection, fallopian tube perforation and severe pain between the two groups (P>0.05). Conclusion Laparoscopic minimally invasive tubal recanalization has better clinical effect on distal tubal obstructive infertility than traditional open surgery.
KEYWORDS: infertility; distal tubal obstruction; laparoscopic minimally invasive tubal recanalization

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