腹腔镜治疗生育期慢性输卵管炎68例临床分析

Clinical Analyses of 68 Cases with Laparoscopic Treatment of Chronic Salpingitis in Period of Duration

目的:探讨腹腔镜治疗慢性输卵管炎的临床价值。方法:将有生育要求的68例慢性输卵管炎患者分为3组,其中轻度病变组32例,中度病变组20例,重度病变组16例。应用腹腔镜治疗,结合临床观察预后,对治疗效果进行评估。结果:腹痛缓解轻度、中度病变组与重度病变组比较有显著性差异;术后妊娠轻度病变组与中度、重度病变组比较有显著性差异。中度、重度病变组均无正常妊娠发生。结论:腹腔镜手术可有效缓解腹痛症状,但对功能恢复疗效欠佳,尤其是输卵管病变程度重者。

Objective：To study clinical value of Laparoscopic treatment of chronic salpingitis.Methods：In 68 patients with chronic salpingitis and with requirement of fertility were divided into 32 cases of mild lesions,20 cases of moderate lesions,16 cases of severe lesions.Use of laparoscopic surgery,combined with clinical observation of prognosis,assessed the effectiveness of treatment.Results：The situation of abdominal pain was relieved： mild,moderate lesion group were better than severe lesion group,the difference was significant;the situation of pregnancy after surgery： mild lesion group was better than moderate,severe lesion group,P0.05,the difference was significant.Moderate and severe lesions had not normal pregnancy.Conclusion：Laparoscopic surgery can effectively relieve pain symptoms,however,functional recovery was below the mark,in particular the extent of tubal disease heavier patients.