中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2013年
14期
2154-2156
,共3页
腹腔镜检查%输卵管造口术%输卵管疾病%不育,女(雌)性
腹腔鏡檢查%輸卵管造口術%輸卵管疾病%不育,女(雌)性
복강경검사%수란관조구술%수란관질병%불육,녀(자)성
Laparoscopy%Salpingostomy%Fallopian tube diseases%Infertility,female
目的 分析腹腔镜输卵管造口术对输卵管积液所致不孕症的治疗效果,探讨提高受孕率的合理治疗方案.方法 对130例输卵管积液的不孕症患者行输卵管造口术,不成功部分患者切除输卵管；比较造口成功与不成功患者及输卵管切除与未切除患者间术后自然受孕和人工受孕率的差异.结果 130例患者造口成功85例,成功率65.4％,造口成功85例中有40例在造口后做体外受精-胚胎移植(IVF-ET)行人工助孕治疗,造口成功患者术后妊娠29例,妊娠率为34.1％；单侧输卵管积液患者术后自然妊娠率(17.9％)与双侧输卵管积液患者(16.7％)差异无统计学意义(x2=0.06,P＞0.05),但人工妊娠率(70.0％)高于双侧积液者(35.0％)(x2=4.912,P＜0.05).造口不成功患者45例均行IVF治疗2次以上,术后妊娠率为8.9％；45例不成功患者中14例行输卵管切除,31例未切除,IVF治疗后受孕率输卵管切除患者(21.4％)高于未切除患者(3.2％)(x2 =3.946,P＜0.05).造口成功患者人工受孕率(52.5％)高于造口不成功行输卵管切除术的患者(21.4％)(x2=4.055,P＜0.05).结论 输卵管造口术可提高自然及人工受孕率,若造口不成功切除输卵管利于IVF的成功.
目的 分析腹腔鏡輸卵管造口術對輸卵管積液所緻不孕癥的治療效果,探討提高受孕率的閤理治療方案.方法 對130例輸卵管積液的不孕癥患者行輸卵管造口術,不成功部分患者切除輸卵管；比較造口成功與不成功患者及輸卵管切除與未切除患者間術後自然受孕和人工受孕率的差異.結果 130例患者造口成功85例,成功率65.4％,造口成功85例中有40例在造口後做體外受精-胚胎移植(IVF-ET)行人工助孕治療,造口成功患者術後妊娠29例,妊娠率為34.1％；單側輸卵管積液患者術後自然妊娠率(17.9％)與雙側輸卵管積液患者(16.7％)差異無統計學意義(x2=0.06,P＞0.05),但人工妊娠率(70.0％)高于雙側積液者(35.0％)(x2=4.912,P＜0.05).造口不成功患者45例均行IVF治療2次以上,術後妊娠率為8.9％；45例不成功患者中14例行輸卵管切除,31例未切除,IVF治療後受孕率輸卵管切除患者(21.4％)高于未切除患者(3.2％)(x2 =3.946,P＜0.05).造口成功患者人工受孕率(52.5％)高于造口不成功行輸卵管切除術的患者(21.4％)(x2=4.055,P＜0.05).結論 輸卵管造口術可提高自然及人工受孕率,若造口不成功切除輸卵管利于IVF的成功.
목적 분석복강경수란관조구술대수란관적액소치불잉증적치료효과,탐토제고수잉솔적합리치료방안.방법 대130례수란관적액적불잉증환자행수란관조구술,불성공부분환자절제수란관；비교조구성공여불성공환자급수란관절제여미절제환자간술후자연수잉화인공수잉솔적차이.결과 130례환자조구성공85례,성공솔65.4％,조구성공85례중유40례재조구후주체외수정-배태이식(IVF-ET)행인공조잉치료,조구성공환자술후임신29례,임신솔위34.1％；단측수란관적액환자술후자연임신솔(17.9％)여쌍측수란관적액환자(16.7％)차이무통계학의의(x2=0.06,P＞0.05),단인공임신솔(70.0％)고우쌍측적액자(35.0％)(x2=4.912,P＜0.05).조구불성공환자45례균행IVF치료2차이상,술후임신솔위8.9％；45례불성공환자중14례행수란관절제,31례미절제,IVF치료후수잉솔수란관절제환자(21.4％)고우미절제환자(3.2％)(x2 =3.946,P＜0.05).조구성공환자인공수잉솔(52.5％)고우조구불성공행수란관절제술적환자(21.4％)(x2=4.055,P＜0.05).결론 수란관조구술가제고자연급인공수잉솔,약조구불성공절제수란관리우IVF적성공.
Objective To analyze the effect of laparoscopic salpingo.stomy in the treatment of infertile caused by hydrosalpinx,and explore the reasonable treatment method for improving pregancy rate.Methods 130 infertile women with hydrosalpinx were treated with salpingostomy firstly,some unsuccessful cases were treated with salpingectomy.The pregnancy rate between successfully salpingostomied patients and unsuccessfully salpingostomied patients was also compared.Results 85 cases were salpingostomied successfully,the successful rate was 65.4％,among these patients 40 received IVF-ET,there was no difference in the natural pregnancy rate between singly hydrosalpinx (17.9％) and double hydrosalpinx(16.7％) (x2 =0.06,P ＞ 0.05),but the artificial pregnancy rate in single hydrosalpinx(70.0％) was higher than double hydrosalpinx (35.0％) (x2 =4.912,P ＜ 0.05).Among 45 unsuccessfully salpingostomied patients,14 cases underwent salpingectomy,all patients received more than two times of IVF-ET treatment,the pregnancy rate in salpingectomied patients (21.4％) was higher than unsalpingectomied (3.2％) (x2 =3.946,P ＜ 0.05).The artificial pregnancy rate of successfully salpingostomied patients (52.2％) was higher than unsuccessful patients (21.4％) (x2 =4.055,P ＜ 0.05).Conclusion Salpingostomy can raise the pregnancy rate (natural or artificial),it is beneficial to do salpingectomy for unsuccessfully salpingostomied patients who want to receive IVF-ET.
