学术论文

      输卵管积水性不孕症90例患者腹腔镜输卵管修复整形术的妊娠率分析

      Pregnancy rate analysis of 90 patients with hydrosalpinx infertility after laparoscopic tubal plastic surgery

      摘要:
      目的:探讨腹腔镜输卵管整形术后输卵管积水性不孕症患者妊娠情况.方法:选取2013年9月至2014年9月收治的90例输卵管积水不孕症行腹腔镜手术的患者为研究对象,所有患者行腹腔镜输卵管修复整形术,随访2年,记录术后患者妊娠率,收集患者不同输卵管评分的妊娠情况及复发情况.结果:120例患者均顺利完成手术,术中出血量在5~35mL,手术时间在30~90min,均未见手术并发症.随着输卵管功能的评分越高,妊娠率越高,高评分组妊娠率明显高于中评分组和低评分组,中评分组妊娠率高于低评分组,差异有统计学意义,P <0.05;低评分组、中评分组、高评分组患者妊娠主要集中在术后1~6个月,术后12~24个月妊娠率极低;高评分组无复发,与中评分组、低评分组比较差异显著.结论:腹腔镜输卵管修复整形术对于输卵管积水性不孕患者具有一定疗效,尤其是高评分患者术后妊娠率高,复发率低.
      Abstract:
      Objectives:To investigate the pregnancy rate of 90 patients with hydrosalpinx infertility after laparoscopic tubal plastic surgery.Methods:90 patients with hydrosalpinx infertility underwent laparoscopic surgery from September 2013 to September 2014 were selected as the research object,and all the patients underwent laparoscopic tubal plastic surgery.All the subjects were followed up for 2 years to record the postoperative pregnancy rate and the recurrence.Results:120 patients successfully completed the operation,with the amount of intraoperative bleeding of 5-35ml and the operation time of 30-90 minutes and no surgical complications.With the function of fallopian tube score higher,the pregnancy rate was higher.The pregnancy rate of the higher score group was significantly higher than that of the medium and low score group,and the pregnancy rate of the medium score group was higher than the low score group,with statistically significant difference,P < 0.05.The pregnancy of all the groups mainly happened within 1-6 months after operation,while rarely in the 12-24 months after operation.There was no recurrence in the high score group,with significant difference from the other two groups.Conclusion:Laparoscopic tubal plastic surgery is of certain effect for patients with hydrosalpinx infertility,especially for those with high scores who has high postoperative pregnancy rate and low recurrence rate.
      作者: 张娟娟 张春莲
      Author: ZHANG Juanjuan ZHANG Chunlian
      作者单位: 十堰市太和医院生殖医学科,湖北十堰,442000
      刊 名: 中国性科学 ISTIC
      年,卷(期): 2017, 26(11)
      分类号: R711.76
      在线出版日期: 2017年12月22日