中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2011年
11期
1462-1463
,共2页
腹腔镜检查%不育,女(雌)性
腹腔鏡檢查%不育,女(雌)性
복강경검사%불육,녀(자)성
Laparoscopy%Infertility,female
目的 探讨腹腔镜检查对女性不孕症的临床诊治价值.方法 回顾性分析468例行腹腔镜检查及手术的女性不孕症患者的临床资料,分析比较原发性不孕与继发性不孕的病因构成及治疗效果,并对168例患者进行随访.结果 在468例不孕症患者中,发现盆腔异常419例(89.53%),盆腔正常49例(10.47%);在盆腔异常患者中,输卵管病变276例(65.87%),子宫内膜异位症62例(14.80%),卵巢肿瘤25例(5.97%),多囊卵巢18例(4.30%),子宫肌瘤16例(3.82%),生殖道畸形14例(3.34%)、盆腔结核8例(1.91%).原发性不孕208例,继发性不孕260例.在继发性不孕患者病因中,输卵管病变构成比为69.23%(180/260),高于原发性不孕组的46.15%(96/208)(x2=14.05,P＜0.05);在原发性不孕患者病因中,子宫内膜异位症构成比为20.19%(42/208),高于继发性不孕的7.69%(20/260)(x2=11.78、P＜0.05);而卵巢肿瘤、多囊卵巢、生殖道畸形、子宫肌瘤、盆腔结核等在原发性不孕和继发性不孕患者病因中构成比差异均无统计学意义(均P＞0.05);原发性不孕患者中盆腔正常的构成比15.38%(32/208),高于继发性不孕的6.54%(17/260)(x2=11.16,P＜0.05).对168例患者进行随访,术后妊娠76例,妊娠时间最短于术后2个月,最长于术后30个月,妊娠时问中位数为8个月;术后6个月内妊娠36例(47.37%),术后1年内妊娠64例(84.21%).结论 腹腔镜检查可明确不孕症的诊断,同时提高术后妊娠率.
目的 探討腹腔鏡檢查對女性不孕癥的臨床診治價值.方法 迴顧性分析468例行腹腔鏡檢查及手術的女性不孕癥患者的臨床資料,分析比較原髮性不孕與繼髮性不孕的病因構成及治療效果,併對168例患者進行隨訪.結果 在468例不孕癥患者中,髮現盆腔異常419例(89.53%),盆腔正常49例(10.47%);在盆腔異常患者中,輸卵管病變276例(65.87%),子宮內膜異位癥62例(14.80%),卵巢腫瘤25例(5.97%),多囊卵巢18例(4.30%),子宮肌瘤16例(3.82%),生殖道畸形14例(3.34%)、盆腔結覈8例(1.91%).原髮性不孕208例,繼髮性不孕260例.在繼髮性不孕患者病因中,輸卵管病變構成比為69.23%(180/260),高于原髮性不孕組的46.15%(96/208)(x2=14.05,P＜0.05);在原髮性不孕患者病因中,子宮內膜異位癥構成比為20.19%(42/208),高于繼髮性不孕的7.69%(20/260)(x2=11.78、P＜0.05);而卵巢腫瘤、多囊卵巢、生殖道畸形、子宮肌瘤、盆腔結覈等在原髮性不孕和繼髮性不孕患者病因中構成比差異均無統計學意義(均P＞0.05);原髮性不孕患者中盆腔正常的構成比15.38%(32/208),高于繼髮性不孕的6.54%(17/260)(x2=11.16,P＜0.05).對168例患者進行隨訪,術後妊娠76例,妊娠時間最短于術後2箇月,最長于術後30箇月,妊娠時問中位數為8箇月;術後6箇月內妊娠36例(47.37%),術後1年內妊娠64例(84.21%).結論 腹腔鏡檢查可明確不孕癥的診斷,同時提高術後妊娠率.
목적 탐토복강경검사대녀성불잉증적림상진치개치.방법 회고성분석468례행복강경검사급수술적녀성불잉증환자적림상자료,분석비교원발성불잉여계발성불잉적병인구성급치료효과,병대168례환자진행수방.결과 재468례불잉증환자중,발현분강이상419례(89.53%),분강정상49례(10.47%);재분강이상환자중,수란관병변276례(65.87%),자궁내막이위증62례(14.80%),란소종류25례(5.97%),다낭란소18례(4.30%),자궁기류16례(3.82%),생식도기형14례(3.34%)、분강결핵8례(1.91%).원발성불잉208례,계발성불잉260례.재계발성불잉환자병인중,수란관병변구성비위69.23%(180/260),고우원발성불잉조적46.15%(96/208)(x2=14.05,P＜0.05);재원발성불잉환자병인중,자궁내막이위증구성비위20.19%(42/208),고우계발성불잉적7.69%(20/260)(x2=11.78、P＜0.05);이란소종류、다낭란소、생식도기형、자궁기류、분강결핵등재원발성불잉화계발성불잉환자병인중구성비차이균무통계학의의(균P＞0.05);원발성불잉환자중분강정상적구성비15.38%(32/208),고우계발성불잉적6.54%(17/260)(x2=11.16,P＜0.05).대168례환자진행수방,술후임신76례,임신시간최단우술후2개월,최장우술후30개월,임신시문중위수위8개월;술후6개월내임신36례(47.37%),술후1년내임신64례(84.21%).결론 복강경검사가명학불잉증적진단,동시제고술후임신솔.
Objective To explore clinical effects of laparoscopy applied in the female patients with infertility. Methods 468 cases of female infertility patients were diagnosed and treated by laparoscopy and 168 cases received follow-up survey. Results Among those infertility patients, the patients of normal pelvic cavity and the abnormal one were 49(10.47% ) and 419( 89.53% ). Among those patients of abnormal pelvic cavity .fallopian tube disease in 276 cases(65.87% ) was at the first place. The constituent ratio of endometriosis,ovary tumor,polycystic ovary,uterine myoma,female genital tract malformation and pelvic tuberculosis was 14. 80% ,5. 97% ,4. 30% ,3. 82% , 3. 34% and 1.91% .respectively. The patients of primary infertility and the secondary ones were 208 and 260 cases. In secondary infertility patients 69.23% (180/260) of patients were caused due to fallopian tube diseases,and the constituent ratio was higher than that in primary infertility 46.15% (96/208) (x2 = 14.05 ,P <0.05),while in primary infertility,the constituent ratio of endometriosis and normal pelvic cavity were 20.19% ,15.38% ,which were higher than that in secondary infertility respectively(x2 = 11. 78,11. 16, all P < 0.05). The pregnancy rate of 168 cases followed-up was 45.24% (76/168).47.37% ,84.21% pregnancy occurred within 6,12 months with laparoscopy. The shortest and longest time of pregnancy was 2 and 30 months, respectively. The median was 8months. Conclusion Laparoscopy playd an important role in diagnosis of infertility and improvement of pregnancy rate.
