中国医药导刊
中國醫藥導刊
중국의약도간
CHINESE JOURNAL OF MEDICAL GUIDE
2013年
6期
980-981,983
,共3页
盆腔炎症%不孕症%腹腔镜%介入%疗效
盆腔炎癥%不孕癥%腹腔鏡%介入%療效
분강염증%불잉증%복강경%개입%료효
Pelvic inflammatory disease%Infertility%Laparoscopic%Intervention%Efficacy
目的：探讨不同方法治疗盆腔炎所致不孕症的临床疗效差异。方法：选取2009年2月~2011年2月期间，经临床及影像学证实的盆腔炎所致不孕症患者96例，按照随机数字表法将患者分为三组：腹腔镜治疗组，介入治疗组及保守治疗组，统计治疗后1年内三组怀孕人数，比较三组患者治疗后临床疗效、输卵管造影结果及治疗后1年内怀孕率的差异。结果：基层医院盆腔炎所致不孕症主要发生在22~36岁之间的育龄妇女；致病菌以革兰氏阴性菌感染为主。腹腔镜治疗组，介入治疗组治疗后临床疗效无明显差异(P>0.05)，保守治疗组临床疗效结果明显差于腹腔镜治疗组及介入治疗组(P<0.01)；治疗后介入治疗组及腹腔镜治疗组输卵管较保守组明显通畅；三组患者1年后怀孕率由高到低分别为腹腔镜治疗组，介入治疗组及保守治疗组。结论：盆腔炎所致不孕症应该进行积极治疗，保守疗法临床疗效较差；腹腔镜治疗，介入治疗都能取得良好临床疗效，再通输卵管，但腹腔镜治疗对提高患者怀孕率高于介入治疗机保守治疗，值得在临床推广。
目的：探討不同方法治療盆腔炎所緻不孕癥的臨床療效差異。方法：選取2009年2月~2011年2月期間，經臨床及影像學證實的盆腔炎所緻不孕癥患者96例，按照隨機數字錶法將患者分為三組：腹腔鏡治療組，介入治療組及保守治療組，統計治療後1年內三組懷孕人數，比較三組患者治療後臨床療效、輸卵管造影結果及治療後1年內懷孕率的差異。結果：基層醫院盆腔炎所緻不孕癥主要髮生在22~36歲之間的育齡婦女；緻病菌以革蘭氏陰性菌感染為主。腹腔鏡治療組，介入治療組治療後臨床療效無明顯差異(P>0.05)，保守治療組臨床療效結果明顯差于腹腔鏡治療組及介入治療組(P<0.01)；治療後介入治療組及腹腔鏡治療組輸卵管較保守組明顯通暢；三組患者1年後懷孕率由高到低分彆為腹腔鏡治療組，介入治療組及保守治療組。結論：盆腔炎所緻不孕癥應該進行積極治療，保守療法臨床療效較差；腹腔鏡治療，介入治療都能取得良好臨床療效，再通輸卵管，但腹腔鏡治療對提高患者懷孕率高于介入治療機保守治療，值得在臨床推廣。
목적：탐토불동방법치료분강염소치불잉증적림상료효차이。방법：선취2009년2월~2011년2월기간，경림상급영상학증실적분강염소치불잉증환자96례，안조수궤수자표법장환자분위삼조：복강경치료조，개입치료조급보수치료조，통계치료후1년내삼조부잉인수，비교삼조환자치료후림상료효、수란관조영결과급치료후1년내부잉솔적차이。결과：기층의원분강염소치불잉증주요발생재22~36세지간적육령부녀；치병균이혁란씨음성균감염위주。복강경치료조，개입치료조치료후림상료효무명현차이(P>0.05)，보수치료조림상료효결과명현차우복강경치료조급개입치료조(P<0.01)；치료후개입치료조급복강경치료조수란관교보수조명현통창；삼조환자1년후부잉솔유고도저분별위복강경치료조，개입치료조급보수치료조。결론：분강염소치불잉증응해진행적겁치료，보수요법림상료효교차；복강경치료，개입치료도능취득량호림상료효，재통수란관，단복강경치료대제고환자부잉솔고우개입치료궤보수치료，치득재림상추엄。
Objective:To investigate the curative effect difference for pelvic inflammatory disease complication with barrenness. Methods:96 cases patients,who were confirmed pelvic inflammatory disease complication with barrenness in our hospital were collected from February 2009 to February 2011.The patients were divided into 3 groups:laparoscopic treatment group,intervention group and conservative treatment group;the pregnancy rates were statistician after 6 month;Clinical efficacy,HSG results and pregnancy rate were compared in 3 teams.Results:The primary hospitals pelvic inflammatory disease occurs mainly in women of childbearing age between 22 to 36 years old.There was no significant difference in clinical efficacy between laparoscopic treatment group and the intervention group (P>0.05),there were a significant difference in clinical efficacy between conservative treatment group and the other teams (P<0.01);After treatment,the clear condition of oviduct were improved markedly in laparoscopic treatment group,intervention group;The pregnancy rates in the three groups from high to low were laparoscopic treatment group, the intervention group and the conservative treatment group after 6 month.Conclusion:Pelvic inflammatory complication with barrenness should be actively treated;Laparoscopic treatment or interventional treatment can achieve a good clinical efficacy and repatency the salpinx;However,compare to intervention group,laparoscopic treatment contributes,moreover,to fetation,which is worth of spreading.
