腹腔镜治疗输卵管积水性不孕58例分析

Analysis on effect of laparoscopy on hydrosalpinx infertility of 58 cases

目的:通过分析58例输卵管积水不孕患者经腹腔镜治疗后受孕的情况,进一步评价腹腔镜在治疗输卵管积水性不孕中的作用。方法:对于就诊的58例输卵管积水患者实施腹腔镜手术,术中进行输卵管评分,术后至少随访2年,了解其受孕情况。结果:研究组与对照组自然受孕率差异有统计学意义(P<0.01);术后最佳受孕时间为1年内;输卵管评分低者术后直接行助孕措施,成功率为21.4%。结论:术时的评估及手术改善盆腔的内环境同样重要,由于术后自然受孕率低,对于输卵管评分低和或伴有其他不孕因素的患者,术后及早采取助孕措施是良好的选择。

Objective： To analyze the pregnant outcomes of 58 cases treated by laparoscopy, evaluate the effect of laparoscopy on hydrosalpinx infertility. Methods： 58 cases with hydrosalpinx were operated under laparoscopy and followed up at least 2 years. Pregnancy rate of 58 cases was investigated. Results： There was significant difference in pregnancy rate between study group and control group （P 〈 0. 01 ） . The best time to conceive was within 1 year after operation. Pregnancy rate of the cases adopting IVF - ED directly because of low tubal score was 21.4%. Conclusion： Assessment during operation is as important as internal environment improved by surgery. Patients with low tubal score and/or accompanied by other factors of infertility, IVF - ET is a good choice.