腹腔镜术式对输卵管梗阻性不孕症患者输卵管通畅效果的影响分析

The tubal patency effect of laparoscopic operation in the treatment of patients with tubal obstructive infertility

目的:观察腹腔镜术式对输卵管梗阻性不孕症(TOI)患者输卵管通畅效果的影响。方法:选择自2012年2月至2014年3月在医院接受治疗的TOI患者118例作为本次研究对象。依照简单随机数字表法将患者分为观察组59例以及对照组59例,为对照组给予传统的开腹手术进行治疗,观察组则利用腹腔镜术式进行治疗,随访2年,对比两组治疗后的输卵管畅通情况、手术相关指标,再随访2年,对比两组预后随访情况。结果:观察组治疗后的总通畅率是89.83%,明显高于对照组的69.49%,阻塞率是3.39%,明显低于对照组的13.56%,差异均有统计学意义(均P<0.05)。观察组的手术时间、出血量、排气时间以及住院时间均分别明显少于对照组,差异均有统计学意义(均P<0.05)。观察组妊娠率是69.49%,明显高于对照组的50.85%,差异有统计学意义(P<0.05)。结论:腹腔镜术式对于TOI患者的输卵管通畅效果较好,还可有效提升患者的输卵管通畅率以及妊娠率,值得给予推广应用。

Objectives： To observe the tubal patency effect of laparoscopic operation in the treatment of pa- tients with tubal obstructive infertility （TOI）. Methods： 118 patients with TOI who received treatment in our hospi- tal from February 2012 to March 2014 were selected as the study subjects. In accordance with the simple random number table method, the patients were divided into observation group （ n = 59） and control group （ n = 59）. The control group received traditional open surgery for treatment, while the observation group used laparoscopic surgical treatment. All th e patients were followed up for 2 years to compare the fallopian tube patency and related index of surgery. Another 2 years were followed up to compare the prognosis. Results： The total patency rate of observation group after treatment was 89.83%, significantly higher than the control group of 69.49%. The blocking rate of observation group was 3.39%, significantly lower than the control group of 13.56%, with statistically significant difference （P 〈 O. 05 ）. The operation time, blood loss, exhaust time and hospital stay in the observation group were significantly less than these in the control group, with statistically significant difference （ all P 〈 0. 05 ）. The pregnancy rate of observation group was 69.49% , significantly higher than the control group of 50. 85% , with sta- tistically significant difference （ P 〈 0. 05 ）. Conelusion： Laparoscopic surgery is of remarkable effect in tubal pa- tency for TOI patients, which can also effectively improve the patient＇s fallopian tube patency rate and pregnancy rate, thusly worthy wide application.