手术治疗输卵管远端梗阻性不孕的临床分析

Operation of oviduct obstructive acyesis

目的 研究开腹及腹腔镜治疗输卵管远端梗阻性不孕及术中通液压力不同对术后妊娠情况的影响.方法 在我院住院手术治疗的输卵管远端梗阻性不孕患者(82例),自愿选择开腹(38例)和腹腔镜(44例),同时记录术中通液压力,比较两组术后妊娠及不同通液压力术后的妊娠情况.结果 开腹与腹腔镜两组间宫内妊娠率比较差异无统计学意义(P>0.05).通液压力较小组中,腹腔镜组宫内妊娠率与开腹组比较差异有统计学意义(P<0.05).结论 我们可以根据术中通液压力情况,在患者充分知情同意的情况下采取不同的手术方式,以提高术后宫内妊娠率.

Objective To study the effect of laparotomy and laparoscopy treatment of oviduct obstructive acyesis and their different pressure of hydrotubation during operation on post-operative pregnancy. Methods Eighty-two cases of oviduct obstructive acyesis in our hospital were treated by laparotomy (38 cases)or laparoscopy(44 cases), and their pressure of hydrotubation were recorded.Results There was no significant difference in the rate of intrauterine pregnancy and ectopic pregnancy between laparotomy and laparoscopy (P>0.05). In the lower pressure group, there was significant difference in the rate of intrauterine pregnancy beween laparotomy and laparoscopy.Conclusions In the condition of the patients' understanding and agreement, we can take the different operation Methods in order to improve the patients' intauterine pregnancyrate on the basis of the pressure of the hydrotubation.