腹腔镜治疗输卵管远端积水98例疗效分析

Therapeutic effect analysis on laparoscopic treatment of distal hydrosalpinx

目的:探讨腹腔镜输卵管造口术治疗输卵管积水的妊娠结局,并评价其临床价值。方法:为98例输卵管积水患者行腹腔镜检查,确诊后行输卵管造口术,术后予以抗炎及中药辅助治疗,并随访观察疗效。结果:98例中22例妊娠,18例自然受孕,占18.4%,4例辅助生育技术受孕,占4.1%,总妊娠率达22.4%。结论:腹腔镜微创处理输卵管积水可提高患者的受孕率,术中使用超声刀比电刀安全可靠。

Objective：To investigate the outcomes of pregnancy after laparoscopic salpingostomy for hydrosalpinx,and assess its clinical value.Methods：Ninety-eight patients with hydrosalpinx underwent laparoscopic exploration,salpingostomy and adjunctive therapy such as anti-inflammatory and traditional Chinese drug.All the patients were followed up and the therapeutic effects were observed.Results：Out of the 98 cases,22 patients were pregnant,in which 18 patients were naturally pregnant（18.4%）,and 4 cases were pregnant with the help of assisted reproductive technology（4.1%）.The total pregnancy rate was 22.4%.Conclusions：This study confirms that the laparoscopic mini-invasive management of hydrosalpinx is an effective approach to increase the pregnancy rate,and ultrasound knife is safer and more reliable than electric knife.