腹腔镜下治疗子宫内膜异位症临床观察

Clinical Observation on Treatment of Endometriosis

目的：通过对比的方法，评价腹腔镜下子宫内膜异位症治疗对输卵管阻塞性不孕症的临床疗效和安全性。方法：将90例输卵管阻塞性不孕症患者随机分成2组。实验组采用腹腔镜治疗45例，对照组采用输卵管微创技术治疗45例。经过2个月的治疗周期，观察疗效。通过两独立样本t检验的统计学方法，对2组的疗效进行统计学分析。结果：在90例患者中，腹腔镜下治疗组总的有效率为95．56％，输卵管微创技术治疗组总的有效率为88．89％。经X^2检验，腹腔镜治疗组的有效率高于单独采用输卵管微创技术治疗组，P值为0．012。结论：腹腔镜下子宫内膜异位症治疗榆卵管阻塞性不孕症效果显著，对松解输卵管粘连具有较好效果，同时，还能防止因微创引起的炎症而导致的输卵管再次粘连，有效提高妊娠率。

Objective： through the method of comparison, evaluation of laparoscopic treatment of endometriosis clinical efficacy and safety of oviduct obstructive infertility. Methods： 90 cases of oviduct obstructive infertility were randomly divided into 2 groups. The ex- perimental grouptreated by laparoscopy in 45 cases, control group with minimally invasive technique in the treatment of 45 cases of fallopi- an tube. After 2 months of the treatment period, curative effect observation. Through the statistics method of two independent samples t test, statistical analysis was conducted on the effect of the two groups. Results： ： In 90 patients, laparoseopie treatment group the total ef- fective rate was 95.56%, fallopian tube minimally invasive technique in treatment group the total efficiency is 88.89%. By X^2 test, the effective rate of treatment group was higher than that of laparoscopie tubal solely by the minimally invasive technique in the treatment group, P value is 0. 012. Conclusion： Laparoscopic uterine endometriosis in treatment of tubal obstructive infertility significant effect on fallopian tube adhesion solution, has the better effect, at the same time, but also can prevent the inflammation because of minimally inva-sive caused by fallopian tube re adhesion, effectively improve the pregnancy rate.