妇产科腹腔镜治疗输卵管梗阻性不孕症的疗效观察

Study on Effect of Abdominal Speculum in Treating Barrenness of Obstructive Uterine Tube

目的:探讨腹腔镜手术治疗输卵管梗阻性不孕症的临床疗效。方法:60例输卵管梗阻性不孕症患者接受腹腔镜手术治疗同时行美蓝染液试验,使其输卵管恢复通畅并恢复其生育能力。结果:60例输卵管梗阻性不孕患者总通畅率为40.00%,术后再次美蓝通液证实输卵管总通畅率为70.00%,两者比较差异具有统计学意义(P<0.05)。60例病例全部获得成功随访,共妊娠23例,妊娠率38.33%,其中1例为异位妊娠,有14例已足月分娩。结论:腹腔镜下治疗输卵管梗阻性不育孕症是安全、简便和有效的方法,值得推广应用。

Objective： To study the effect of abdominal speculum in treating barrenness of obstructive uterine tube. Method： 60 cases with barrenness of obstructive uterine tubes received operations of abdominal speculum and methylene blue staining fluid experiments. It aimed at unobstructing their uterine tube and recovering their potentia generandi. Result： The totall patency rate of 60 cases was 40.00%, and after operations the patency rate was 70.00%, there were significant differences in patency rate before and after operations （ P 〈 0.05 ）. 60 cases were followed - up successfully, and 23 cases （ 38.33% ） were pregnant. 1 case was ectopic pregnancy, and 14 cases were term labor. Conclusion： It is safe, simple and effective to treat barrenness of obstructive uterine tube by abdominal speculum, which is worth applying widely.