CAJ | 학술논문

目的探讨腹腔镜在治疗输卵管性不孕症中的作用.方法对2010年1月-2012年1月应用腹腔镜治疗的50例(治疗组)确诊的输卵管不孕症患者的临床资料进行回顾性分析,并与同期开腹治疗的60例(对照组)输卵管性不孕症患者进行比较分析.结果所有患者均顺利完成手术,治疗组的手术时间、术中出血量、术后体温恢复正常时间、住院时间均明显低于对照组(P<0.05),差异有统计学意义;两组组内术前与术后输卵管通液通畅率相比,差异有统计学意义(P<0.05).治疗组和对照组术后输卵管通液通畅率分别为21.0%和19.17%,差异无统计学意义(P>0.05);所有患者随访1~24个月,治疗组受孕率52.0%明显高于对照组35.0%,两组比较差异有统计学意义(P<0.05).结论腹腔镜技术具有创伤小、术后恢复快、效果明显等优点,在治疗输卵管性不孕症方面疗效明显优于开腹手术.
목적탐토복강경재치료수란관성불잉증중적작용.방법대2010년1월-2012년1월응용복강경치료적50례(치료조)학진적수란관불잉증환자적림상자료진행회고성분석,병여동기개복치료적60례(대조조)수란관성불잉증환자진행비교분석.결과소유환자균순리완성수술,치료조적수술시간、술중출혈량、술후체온회복정상시간、주원시간균명현저우대조조(P<0.05),차이유통계학의의;량조조내술전여술후수란관통액통창솔상비,차이유통계학의의(P<0.05).치료조화대조조술후수란관통액통창솔분별위21.0%화19.17%,차이무통계학의의(P>0.05);소유환자수방1~24개월,치료조수잉솔52.0%명현고우대조조35.0%,량조비교차이유통계학의의(P<0.05).결론복강경기술구유창상소、술후회복쾌、효과명현등우점,재치료수란관성불잉증방면료효명현우우개복수술.
Objective To evaluate the effectsof Laparoscopic technique on the cases withtubal infertility. Methods The clinical data about 110 cases in our hospital with tubal infertility were analyzed retrospectively from January 2010 to January 2012. 50 cases in treatment group were given laparoscopic treatment, and 60 cases in control group were given open operation treatment. The effects of two groups were compared.Results All patients were successfully completed surgery, postoperative treatment in surgery, intraoperative bleeding and postoperative body temperature returned to normal time length of stay were significantly lower than the control group (P<0.05);Two sets of preoperative and postoperative hydrotubation patency compared, differences were significant (P<0.05). Treatment group and control group in postoperative tubal liquid flow rate were 21.0%and 19.17%,no significant difference (P>0.05), all patients received follow-up 1-24 months, treatment pregnancy rate is 52.0%significantly higher than the control group 35.0%, compared the two have significant differences (P<0.05).Conclusion Laparoscopic technique has small trauma, rapid recovery, and significant effect. The effects on the treatment of tubal infertility by laparoscopic is better than by open operation.