中外女性健康(下半月)
中外女性健康(下半月)
중외녀성건강(하반월)
CHINESE-FOREIGN WOMEN'S HEALTH
2014年
12期
12-13
,共2页
不孕症%子宫内膜异位症%腹腔镜%疗效
不孕癥%子宮內膜異位癥%腹腔鏡%療效
불잉증%자궁내막이위증%복강경%료효
Infertility%endometriosis%Laparoscopy%Clinical effects
目的:分析腹腔镜诊断与治疗子宫内膜异位症以及不孕症临床疗效。方法:选取从2010年9月至2013年9月60例由于不孕症经腹腔镜诊断为子宫内膜异位症患者,并采取腹腔镜手术。术后行12个月随访,观察患者临床疗效与术后妊娠率。结果:Ⅰ、Ⅱ、Ⅲ、Ⅳ期子宫内膜异位症患者输卵管通畅率分别为:86.67%、76.00%、75.00%、50.00%。不同期患者妊娠率无明显差异(P>0.05)。术后0~12周、13~24周、25~36周、37周~1年妊娠率分别为60.00%,11.67%、5.00%、5.00%,在妊娠率方面,术后0~12周高于13~24周、25~36周、37周~1年(P<0.05)。结论:腹腔镜能早期诊断与治疗子宫内膜异位症,对子宫内膜异位症及不孕症患者采取腹腔镜手术,效果明显,妊娠率提升,具有临床应用价值。
目的:分析腹腔鏡診斷與治療子宮內膜異位癥以及不孕癥臨床療效。方法:選取從2010年9月至2013年9月60例由于不孕癥經腹腔鏡診斷為子宮內膜異位癥患者,併採取腹腔鏡手術。術後行12箇月隨訪,觀察患者臨床療效與術後妊娠率。結果:Ⅰ、Ⅱ、Ⅲ、Ⅳ期子宮內膜異位癥患者輸卵管通暢率分彆為:86.67%、76.00%、75.00%、50.00%。不同期患者妊娠率無明顯差異(P>0.05)。術後0~12週、13~24週、25~36週、37週~1年妊娠率分彆為60.00%,11.67%、5.00%、5.00%,在妊娠率方麵,術後0~12週高于13~24週、25~36週、37週~1年(P<0.05)。結論:腹腔鏡能早期診斷與治療子宮內膜異位癥,對子宮內膜異位癥及不孕癥患者採取腹腔鏡手術,效果明顯,妊娠率提升,具有臨床應用價值。
목적:분석복강경진단여치료자궁내막이위증이급불잉증림상료효。방법:선취종2010년9월지2013년9월60례유우불잉증경복강경진단위자궁내막이위증환자,병채취복강경수술。술후행12개월수방,관찰환자림상료효여술후임신솔。결과:Ⅰ、Ⅱ、Ⅲ、Ⅳ기자궁내막이위증환자수란관통창솔분별위:86.67%、76.00%、75.00%、50.00%。불동기환자임신솔무명현차이(P>0.05)。술후0~12주、13~24주、25~36주、37주~1년임신솔분별위60.00%,11.67%、5.00%、5.00%,재임신솔방면,술후0~12주고우13~24주、25~36주、37주~1년(P<0.05)。결론:복강경능조기진단여치료자궁내막이위증,대자궁내막이위증급불잉증환자채취복강경수술,효과명현,임신솔제승,구유림상응용개치。
Objective: To analyze the clinical effects of laparoscopic diagnosis and treatment for the endometriosis and infertility. Methods:60 cases of laparoscopic diagnosis of infertility due to sub for patients with endometriosis from September 2010 to September 2013 were selected and given laparoscopic surgery. Postoperative follow-up of 12 months, the clinical efficacy was observed in patients with postoperative pregnancy. Results: Ⅰ,Ⅱ,Ⅲ,and Ⅳ endometriosis patients with tubal patency rates were: 86.67%, 76.00%, 75.00%, 50.00%. The pregnancy rate was no significant difference (P>0.05). Postoperative 0~12 weeks, 13~24 weeks, 25~36 weeks, 37 weeks to 1 year pregnancy rate was 60.00%, 11.67%, 5.00%, 5.00%. In pregnancy, the postoperative 0~12 weeks above the 13~24 weeks, 25~36 weeks, 37 weeks to 1 year (P<0.05). Conclusion:Laparoscopy can early diagnose and treat endometriosis , the effect is obvious for the endometrissis and infertility patients taken laparoscopic surgery , and the pregnancy rate increases, with clinical value.