摘要
目的探讨官外孕患者盆腔粘连的相关因素及与盆腔粘连程度的关系。方法选择接受腹腔镜治疗的合并不同程度的盆腔粘连宫外孕患者160例,根据盆腔粘连致密程度、粘连范围、有无直肠窝封闭、双侧输卵管是否与周围组织粘连及输卵管是否闭锁等进行评分。根据评分分组:轻度粘连组102例,中度粘连组44例,重度粘连组14例,对照组124例为同期接受腹腔镜手术,术中未发现盆腔粘连的宫外孕患者。结果 (1)不同程度盆腔粘连患者的盆腹腔手术史发生率均显著高于对照组(46.1%,56.8%,57.1%,13.7%,P<0.01)。(2)流产发生率粘连组,轻度粘连,和重度粘连显著高于对照组(65.0%,70.6%,57.1%,45.1%,P<0.01)。(3)节育环发生率轻度粘连组显著高于对照组(14.7%,6.45%,P<0.05),但粘连组节育环发生率与对照组无明显差异(10.6%,6.45%,P>0.05)。(4)腹腔镜下诊断盆腔子宫内膜异位症的发生率,粘连组、轻度粘连和中度粘连均高于对照组(13.7%,12.82%,15.9%,P<0.05)。结论手术损伤、流产、节育环及盆腔子宫内膜异位症是造成宫外孕患者盆腔粘连的重要因素,并与盆腔粘连程度密切相关。
Objective To explore the related factors with different degrees of pelvic adhesion in pregnancy women by laparoscopy. Methods One huandred and sixty infertile patients who were found with pelvic adhesion by laparoscopy were treated. They were divided into three groups according to the sverity of pelvic adhesion as following :102 with mild adhesion, 44 with moderate adhesion and 14 with severe adhesion . There were 124 pregnancy patients without pelvic adhesion in the control group. Results ( 1 ) There was much higher percentage of patients who had surgery history in each of the pelvic adhesion groups than that in the control group (46. 1%, 56.8%, 57.1%, 13.7%,P 〈 0.01. (2)There was higher percentage of patients who had abortion in adhesion group, mild adhesion and severe adhesion group than that in the control group (65.0% ,70.6% ,57.1% ,45.1%, P 〈 0.01 ). (3)There was higher patients who had intrauterine device in mild adhesion than that in the control group( 14.7%,6.45% ,P 〈 0.05 ) , but the percentage of patients who had intrauterine device in adhesion was not obvious difference from that in the control group (0.6%,6.45%, P 〉 0.05 ). (4)The rate of endometriosis in adhesion group, mild adhesion and moderate adhesion group significantly was higher than that in control group( 13.7%, 12.82%, 15.9%, P 〈 0.05). Conclusion Abdominal or pelvic operative lesions, abortion, intrauterine device and endometriosis could be important faetors to induce pelvic adhesion in pregnancy women, and the incidence of those diseases is correlated with the severity of pelvic adhesion.
出处
《医学研究杂志》
2009年第10期99-101,共3页
Journal of Medical Research
关键词
盆腔粘连
宫外孕
腹腔镜
Pelvic adhesion
Pregnancy
Laparoscopy