腹腔镜在48例输卵管性不孕患者诊治中的应用

Application of laparoscope in diagnosis and treatment of 48 patients with tubal infertility

目的:探讨腹腔镜诊治输卵管不孕的临床效果及技术特点。方法:收集2006年6月～2009年10月仙桃市第一人民医院行腹腔镜诊治输卵管不孕48例患者的资料,回顾性分析患者的腹腔镜诊断和手术治疗的情况。结果:48例患者均在腹腔镜下顺利完成手术,无1例中转开腹。手术时间20～70min,平均42.62min;术中出血5～55ml,平均28.98ml,所有患者无并发症发生,术后受孕率达87.50%,取得满意的临床效果。结论:腹腔镜诊治输卵管不孕具有创伤小、出血少、恢复快、住院时间短、并发症少等优点,术后受孕率高,是诊治输卵管性不孕的最佳术式。

Objective： To explore the clinical efficacy and technical characteristics of laparoscope in diagnosis and treatment of tubal infertility. Methods： The clinical data of 48 patients with tubal infertility who were diagnosed and treated under laparoscope in the hos- pital from June 2006 to October 2009 were collected, the diagnosis and treatment conditions were analyzed retrospectively. Results： Laparo- scopic surgery of 48 patients was finished successfully, no patient converted to open surgeT：~; the surgical time was 20 - 70 minutes, 42. 62 minutes on average; the amount of intraoperative blood loss was 5 ~ 55 ml, 28.98 ml on average; no complications occurred, the pregnancy rate after surgery, was 87.50% , satisfactory clinical effects were obtained. Conclusion： Laparoscope has the advantages of minimal injury, less bleeding, quick recoveo, short hospitalization time, less complications and high pregnancy rate after surgery, which is the optimum method in diagnosis and treatment of tubal infertility.