中国临床实用医学
中國臨床實用醫學
중국림상실용의학
CHINA CLINICAL PRACTICAL MEDICINE
2010年
10期
45-47
,共3页
李文成%舒爱娥%王优快%肖明%李康%曾兰娟
李文成%舒愛娥%王優快%肖明%李康%曾蘭娟
리문성%서애아%왕우쾌%초명%리강%증란연
不孕%女性%盆腔粘连松解%预防粘连
不孕%女性%盆腔粘連鬆解%預防粘連
불잉%녀성%분강점련송해%예방점련
Infertility%Female%Pelvic adhesiolysis%Anti-adhehesion
目的 探讨腹腔镜下盆腔粘连松解术中应用防粘连隔离膜治疗不孕症的安全性和有效性.方法 自2006年2月至2008年12月,对226例不孕患者在本院用腹腔镜行盆腔粘连松解,随机分为2组,治疗组112例术中应用防粘连剂.记录盆腔粘连与松解情况、输卵管通畅性及术后妊娠情况.结果 ①腹腔镜下盆腔粘连松解,输卵管染色通液中发现42条近端梗阻,治疗组疏通199条输卵管,对照组疏通211条输卵管;②术后无并发症发生,72～96 h出院;③随访情况:术后随访13～23个月.治疗组输卵管再闭塞率2.01%(4/199)低于对照组,两组比较治疗组差别有显著意义.治疗组受孕率59.82%(67/112),对照组2例失访,受孕率41.07%(46/112),两个治疗组比较其差别有显著意义(P＜0.01).结论 腹腔镜下盆腔粘连松解术中应用防粘连剂治疗不孕症可行、有效,术后再闭塞率低,受孕率高.
目的 探討腹腔鏡下盆腔粘連鬆解術中應用防粘連隔離膜治療不孕癥的安全性和有效性.方法 自2006年2月至2008年12月,對226例不孕患者在本院用腹腔鏡行盆腔粘連鬆解,隨機分為2組,治療組112例術中應用防粘連劑.記錄盆腔粘連與鬆解情況、輸卵管通暢性及術後妊娠情況.結果 ①腹腔鏡下盆腔粘連鬆解,輸卵管染色通液中髮現42條近耑梗阻,治療組疏通199條輸卵管,對照組疏通211條輸卵管;②術後無併髮癥髮生,72～96 h齣院;③隨訪情況:術後隨訪13～23箇月.治療組輸卵管再閉塞率2.01%(4/199)低于對照組,兩組比較治療組差彆有顯著意義.治療組受孕率59.82%(67/112),對照組2例失訪,受孕率41.07%(46/112),兩箇治療組比較其差彆有顯著意義(P＜0.01).結論 腹腔鏡下盆腔粘連鬆解術中應用防粘連劑治療不孕癥可行、有效,術後再閉塞率低,受孕率高.
목적 탐토복강경하분강점련송해술중응용방점련격리막치료불잉증적안전성화유효성.방법 자2006년2월지2008년12월,대226례불잉환자재본원용복강경행분강점련송해,수궤분위2조,치료조112례술중응용방점련제.기록분강점련여송해정황、수란관통창성급술후임신정황.결과 ①복강경하분강점련송해,수란관염색통액중발현42조근단경조,치료조소통199조수란관,대조조소통211조수란관;②술후무병발증발생,72～96 h출원;③수방정황:술후수방13～23개월.치료조수란관재폐새솔2.01%(4/199)저우대조조,량조비교치료조차별유현저의의.치료조수잉솔59.82%(67/112),대조조2례실방,수잉솔41.07%(46/112),량개치료조비교기차별유현저의의(P＜0.01).결론 복강경하분강점련송해술중응용방점련제치료불잉증가행、유효,술후재폐새솔저,수잉솔고.
Objective To investigate the safety and efficacy of hydrolaparoscopic pelvic adhesiolysis applied membrane for anti-adhesion in the infertile women.Methods From February 2006 to December 2008,226 infertile patients underwent hydrolaparoscopic pelvic adhesiolysis applied membrane for anti-adhesion.They have been divided into two groups,The study group apply membrane for anti-adhesion after operation.The diuation of the operation and discharge,pelvic adhesions scored,oviducts patency,complications and pregrancy
rate were investigated.Results ①Hydrolaparoscopic pelvic adhesiolysis.42 oviducts were of proximal occlusion by dye-test.There were 199 oviducts unobstructed in the study group and 211 oviducts unobstructed in the control group.②The duration of be hospitalized 72-96 hours,no complications occurred.③the condition of followup:in the 13-23 months' follow-up,The rate of oviduct block again after operation was 2.01％(4/199)in the study group is lower than in the control group(P ＜0.01).The rate of pregnancy was 59.82％(67/112) in the study group is higher than the control group( P ＜ 0.01).Conclusion Hydrolaparoscopic pelvic adhesiolysis apply membrane for anti-adhesion is safe,efficacious,the rate of oviduts block again after operation is lower with higher pregrancy.
