不孕患者行宫腹腔镜联合手术临床分析(1)
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2010年7月5日
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[摘要] 目的:通过与传统治疗方法的对比,探讨宫腹腔镜治疗输卵管不孕的有效性及价值。方法:将60例不孕患者随机分为治疗组和对照组,每组各30例。其中,治疗组双侧输卵管均不通畅为3例;一侧通畅,另一侧通而不畅为12例;一侧不通,另一侧通而不畅为15例(共48条)。对照组双侧输卵管均不通畅为2例;一侧通畅,另一侧通而不畅为13例;一侧不通,另一侧通而不畅为15例(共47条)。利用宫腹腔镜治疗,对照组利用传统的人工输卵通流术治疗。结果:治疗组输卵管通畅31条,通畅率为64.58%,有进展8条,占16.67%;对照组输卵管通畅21条,通畅率为44.68%,有进展8条,占17.02%。结论:宫腹腔镜联合手术能够在清晰的视野下进行手术,疏通率高、伤口小,是治疗不孕症的最佳选择。
[关键词] 不孕;宫腹腔镜;临床分析
[中图分类号] R711.6 [文献标识码]A [文章编号]1674-4721(2010)07(a)-046-02
Infertility Clinical analysis of combined laparoscopic surgery palace
LI Yan
(Xinhua County Maternal and Child Health Hospital of Hunan Province,Xinhua 417600,China)
[Abstract] Objective:To contrast with the traditional treatment methods to explore the palace of the effectiveness of laparoscopic treatment of tubal infertility and value.Methods:60 infertile patients were randomly divided into combined treatment group, treatment group and control group 30 patients.Among them,the treatment group,tubal patency for the three cases not;side smooth,other side passable to 12;side of the barrier,the other side passable for 15 patients(48).No control group tubal patency for the two cases;one side smooth,other side passable for the 13 cases;side of the barrier,the other side passable for 15 patients (47).Treatment using laparoscopy,the control group using traditional manual transmission egg Flow treatment.Results:The 31 treatment group,tubal patency,patency rate was 64.58%,8 there had been progress,accounting for 16.67%,21 tubal patency control group,patency rate was 44.68%,8 there had been progress,accounting for 17.02%.Conclusion:Laparoscopy combined with surgery can be carried out under a clear vision surgery,and clear the high rate of wound is small,the best choice for the treatment of infertility.
[Key words] Ifertility;Laparoscopy;Cinical analysis
不孕症困扰了许多渴望有孩子的家庭,本该温馨的家庭却因缺少孩子而失去了欢乐。在生活中,有不少患者为寻求治疗途径跋山涉水、费尽心思,可效果依旧不理想,无法满足受孕的愿望。众多的不孕患者中,输卵管性不孕是不孕症的主要代表,其发病率高,占不孕病因的35%左右[1]。近年来,研究不孕的力度逐年增加,无论是药物还是器械都有所提升,特别是微创手术的应用,降低了患者行手术时的痛苦,而且成功率高,被广大患者所接受。本院应用宫腹腔镜联合手术治疗不孕症已多年,效果比较满意,现报道如下:
1 资料与方法
1.1 一般资料
将60例不孕患者随机分为两组,治疗组30例,年龄20～40岁,不孕年限3～12年,双侧输卵管均不通畅为3例;一侧通畅,另一侧通而不畅为12例;一侧不通,另一侧通而不畅为15例(共48条) ......
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