腹腔镜下治疗输卵管性不孕的临床分析

The clinical analysis about the therapy of the secondary inability to have children by laparoscopy

目的探讨妇科腹腔手术对继发不孕症病人的临床效果。方法回顾我院自2003年至今收治继发不孕20例行腹腔镜手术治疗的受孕率进行分析。结果20例手术病人均在腹腔镜下操作完成手术,使输卵管游离,伞端造口,卵巢肠管粘连松解,盆腔包块消失,术中行输卵管通液均通畅良好,术中出血30～50ml,无手术并发症,术后5～7天痊愈出院,术后1年随访受孕率24.5%。结论腹腔镜手术具有创伤小,出血少,术野清晰,恢复快的优点,但术后受孕率低,其主要原因是盆腔时间长,粘连程度严重,术后未能恢复生理功能。

Objective To discuss the clinical ellect of the operation by laparoscopy about the secondary inability to have children. Methods By analyzing the pregnancy rate of the 20 patients who have no ability to have children in our hospital from 2003 after the operation by laparuscopy. Results The operations by laparoscopy on the 20 patients are successful. Fallopian tubes are independent, make a cave at the end of it, remove the adhesion of ovaries and intestine. Inflamed lumps in pelvic cavity disappear, the fallopian tubes are unobstructed in the operation, the amount of hemorrhage is about 30-50ml. The 20 patients have no complications and recover after 5-7days. Pregnancy rate is 24.5% after one years. Conclusions The operation by laparoscopy have no serious trauma, the amount of hemorrhage is little, operation scope is very clear, the 50 patients recovered quickly. But pregnancy rate is low. The main reason is the intrauterine adhesion is serious for a long time. After the operation the function of the fallopian tubes are not very good.