摘要
目的比较PK刀及双极电刀在输卵管伞端粘连闭锁伴不孕中的腹腔镜手术效果。方法 2008年5月～2010年8月因输卵管伞端闭锁伴不孕的Ⅱ、Ⅲ期患者97例,根据引入器械先后不同分双极电刀组55例,PK刀组42例,在腹腔镜下行输卵管造口术。比较手术时间、术中出血量、肛门恢复排气时间和术后妊娠率、分娩率的情况。结果两组手术时间、术中出血量、肛门恢复排气时间,差异均无统计学意义(P>0.05)。双极组术后妊娠率为25.4%,分娩率为18.2%;PK刀组术后妊娠率为52.4%,分娩率为42.9%,两组比较有显著性差异(P<0.05)。结论 PK刀热损伤小,较双极电刀更有利于恢复输卵管伞的正常解剖和拾卵功能,提高妊娠率和分娩率。
Objective To compare the PK tool and bipolar electric knife adhesion atresia with distal tubal infertility effect of laparoscopic surgery.Methods May 2008～August 2010 in our hospital because of tubal infertility with distal occlusion Ⅱ,Ⅲ 97 cases of patients,according to the introduction of devices have different sub-group of 55 patients with bipolar electrocautery,PK knife 42 cases,fallopian tube fallopian tube in laparoscopic colostomy.Results Comparison of operation time,blood loss,anal exhaust time and postoperative recovery pregnancy,birth rate situation.The results mean operating time,blood loss,anal exhaust time of recovery,the difference was not statistically significant（P0.05）.Bipolar group were 25.4% pregnancy rate,birth rate of 18.2%;PK knife postoperative pregnancy rate was 52.4%,delivery rate of 42.9,the two groups was significant difference（P0.05）.Conclusion PK knife heat damage,more favorable than the bipolar knife to restore the normal anatomy and tubal oocytes picked up functions,enhance the rate of pregnancy and childbirth.
出处
《当代医学》
2011年第4期6-7,共2页
Contemporary Medicine
关键词
腹腔镜手术
PK刀
输卵管
不孕症
Laparoscopic surgery
PK knife
Oviduct
Infertility
