CAJ | 학술논문

目的探讨输卵管积水新旧2种造口手术的术后效果及妊娠结局。方法回顾性分析2010年5月~2013年10月大连市妇幼保健院生殖中心诊治的213例输卵管积水的临床资料，根据腹腔镜处理方式分为以往造口手术方式组(124例)及改良造口手术组(89例)，并对其进行术后随访，评估手术效果及其妊娠结局。结果采用以往的造口手术方式，患者的复发率为6.4%，包括输卵管阻塞(4例，3.2%)和再发积水(4例，3.2%)。而相对改良的输卵管造口术，目前仅发现1例复发。单侧输卵管积水组，改良的手术方式组21例(32.8%)，显著高于以往手术组13例(17.3%)；双侧输卵管积水组，前者的宫内妊娠6例(24.0%)，亦显著高于后者5例(10.2%)。结论改良的输卵管造口术是一种较为有效的治疗输卵管积水性不孕的手术方式，但如何提高术后宫内妊娠率仍是目前研究的主要方向。
목적탐토수란관적수신구2충조구수술적술후효과급임신결국。방법회고성분석2010년5월~2013년10월대련시부유보건원생식중심진치적213례수란관적수적림상자료，근거복강경처리방식분위이왕조구수술방식조(124례)급개량조구수술조(89례)，병대기진행술후수방，평고수술효과급기임신결국。결과채용이왕적조구수술방식，환자적복발솔위6.4%，포괄수란관조새(4례，3.2%)화재발적수(4례，3.2%)。이상대개량적수란관조구술，목전부발현1례복발。단측수란관적수조，개량적수술방식조21례(32.8%)，현저고우이왕수술조13례(17.3%)；쌍측수란관적수조，전자적궁내임신6례(24.0%)，역현저고우후자5례(10.2%)。결론개량적수란관조구술시일충교위유효적치료수란관적수성불잉적수술방식，단여하제고술후궁내임신솔잉시목전연구적주요방향。
Objective To study of the ef ect of the two dif erent salpingostomy to hydrosalpinx. Methods The retrospective control study was conducted over 3-year period from May 2010 to October 2013, which covered 213 infertile women af ected by hydrosalpinx, which including salpingostomy group (124 patients) and neo-salpingostomy (89 patients) according to laparoscope management protocol. The ef ect and pregnancy rate of the two dif erent salpingostomy were evaluated by fol ow-up. Results The recurrence rate was 6.4% in salpingostomy group, including salpingemphraxis (4 cases,3.2%) and reappearance of hydrosalpinx (4 cases,3.2%).However, there was only 1 case recurrence in neosalpingostomy group. In the unilateral hydrosalpinx group, the uterine pregnancy was more 21 cases (32.8%) by neosalpingostomy than 13 cases (17.3%)by salpingostomy. And, in the bilateral hydrosalpinx group, the uterine pregnancy of the former was 6 cases(24.0%) ,which also more than the later(5 cases,10.2%). Conclusion The neosalpingostomy can be considered an ef ective surgical management to hydrosalpinx. And how to increasing the rate of uterine pregnancy wil be the main research direction in the future.