腹腔镜下输卵管造口术治疗输卵管远端积水不孕的临床观察

Clinical observation of laparoscopic salpingostomy in treatment of distal tubal seeper infertility the clinical observation of infertility

目的观察腹腔镜下输卵管造口术治疗输卵管远端积水不孕的临床效果。方法选取本院2012年12月-2016年7月收治的输卵管远端积水不孕患者38例,采用随机数字表法分为两组,对照组患者采用常规开腹手术治疗,观察组患者采用腹腔镜下输卵管造口术治疗,对比观察两组患者的临床疗效。结果观察组患者的宫内妊娠率为73.7%,对照组患者的宫内妊娠率为42.1%,两组比较差异具有统计学意义（P〈0.05）。观察组患者的自主排尿时间、排气时间、下床活动时间、住院时间指标显著低于对照组,差异均具有统计学意义（P〈0.05）。结论输卵管远端积水不孕患者采用腹腔镜下输卵管造口术治疗临床疗效显著,手术能够有效的提高患者的宫内妊娠率,有利于患者术后恢复,缩短住院时间,具有推广使用的临床价值。

Objective To observe the clinical effect of laparoscopic salpingostomy in treatment of distal tubal seeper infertility. Methods 38 cases of distal tubal infertility cured in our hospital from December 2012 to July 2016 were divided into two groups according to random number table method. Patients in control group were treated with conventional laparotomy surgery, and patients in observation group were treated with laparoscopic salpingostomy. The clinical efficacy of two groups patients was compared and observed. Results The intrauterine pregnancy rate of observation group was 73.7%, the intrauterine pregnancy rate of control grou was 42.1%, there was a stactistical difference contrast between the two groups（P 〈 0.05）. The automatic micturition bedtime, exhaust time,length of hospital stay index of observation group were significantly shorter than those of control group（P 〈 0.05）. Conclusion The distal tubal seeper infertility treated by laparoscopic salpingostomy has a remarkable clinical curative effect. It can effectively improve the intrauterine pregnancy rate of the patients. It is beneficial to patients with postoperative recovery. It can shorten hospitalization time. And it has the promoted use of clinical value.