CAJ | 학술논문

目的：探讨微型腹腔镜器械治疗输卵管性不孕的临床应用价值。方法选取2011～2013年南方医科大学附属南海医院收治的102例输卵管性不孕患者的临床资料，其中54例患者使用微型腹腔镜器械手术纳入微械组，48例使用普通腹腔镜器械手术患者纳入普械组，对比分析两组患者术后妊娠情况。结果微械组术后总妊娠率、宫内妊娠率及活产率[44.4％（24／54）、42.6％（23／54）、38.9％（21／54）]均高于普械组[25.0％（12／48）、18.8％（9／48）、16.7％（8／48）]（P＜0.05）；微械组轻、中度输卵管病变患者的宫内妊娠率[64.7％（11／17）、41.7％（10／24）]明显高于普械组[25.0％（4／16）、18.2％（4／22）]（P＜0.05）。结论使用微型腹腔镜器械治疗轻、中度输卵管性不孕能提高术后宫内妊娠率。
목적：탐토미형복강경기계치료수란관성불잉적림상응용개치。방법선취2011～2013년남방의과대학부속남해의원수치적102례수란관성불잉환자적림상자료，기중54례환자사용미형복강경기계수술납입미계조，48례사용보통복강경기계수술환자납입보계조，대비분석량조환자술후임신정황。결과미계조술후총임신솔、궁내임신솔급활산솔[44.4％（24／54）、42.6％（23／54）、38.9％（21／54）]균고우보계조[25.0％（12／48）、18.8％（9／48）、16.7％（8／48）]（P＜0.05）；미계조경、중도수란관병변환자적궁내임신솔[64.7％（11／17）、41.7％（10／24）]명현고우보계조[25.0％（4／16）、18.2％（4／22）]（P＜0.05）。결론사용미형복강경기계치료경、중도수란관성불잉능제고술후궁내임신솔。
Objective To explore the clinical application value of micro -laparoscopic instrument in treatment of tubal infertility.Methods Clinical data of 102 patients with tubal infertility in Nanhai Hospital Affiliated to The South Medical University during 2011 to 2013 was collected.All cases were divided into micro instruments group (n=54) and ordinary instrument group (n=48) according to the different surgical instruments.The postoperative pregnancy outcomes of two groups were analyzed.Results The total postoperative pregnancy rate, intrauterine pregnancy rate and live birth rate of micro instruments group [ 44.4 % ( 24/54 ) , 42.6 %(23/54), 38.9 %(21/54)] were higher than that of ordinary instrument group[25.0 % (12/48), 18.8 % (9/48), 16.7 %(8/48)](P<0.05).The intrauterine pregnancy rate of patients with mild and moderate tubal lesion in micro instruments grou p[64.7 %(11/17), 41.7 % (10/24)] were significantly higher than that of ordinary instrument group[25.0 % (4/16), 18.2 %(4/22)] (P<0.05).Conclusion The micro-laparoscopic instruments is effective on mild and moderate tubal infertility, which can improve postoperative intrauterine pregnancy rate.