中国性科学
中國性科學
중국성과학
Chinese Journal of Human Sexuality
2015年
9期
80-83
,共4页
腹腔镜%宫腔镜%手术治疗%输卵管性不孕症%妊娠%性生活质量
腹腔鏡%宮腔鏡%手術治療%輸卵管性不孕癥%妊娠%性生活質量
복강경%궁강경%수술치료%수란관성불잉증%임신%성생활질량
Laparoscopic%Hysteroscopy%Surgery%Oviductive infertility%Pregnancy%Quality of sexual life
目的：探讨宫腹腔镜联合治疗输卵管性不孕症对于妊娠与性生活质量的影响。方法：输卵管性不孕症患者120例根据随机抽签原则分为治疗组与对照组各60例，对照组宫腔镜下输卵管疏通术，治疗组选择宫腹腔镜联合手术。结果：两组的麻醉时间、手术时间、术中出血量、术后住院时间进行对比，差异无统计学意义（P ＞0.05）。治疗组术后感染、出血、低钠血症、低血压等并发症总体发生率明显低于对照组（P ＜0.05）。治疗组的术后6个月与1年的妊娠率分别为36.7％和80.0％，对照组分别为20.0％和45.0％，治疗组的术后6个月与1年妊娠率明显高于对照组（P ＜0.05）。治疗组术后6个月的性欲、性高潮、性心理、性交愉悦评分都明显高于对照组（P ＜0.05）。结论：宫腹腔镜联合治疗女性输卵管性不孕症并不增加手术复杂度，术后并发症更少，能促进性生活质量与妊娠率的提高，值得推广应用。
目的：探討宮腹腔鏡聯閤治療輸卵管性不孕癥對于妊娠與性生活質量的影響。方法：輸卵管性不孕癥患者120例根據隨機抽籤原則分為治療組與對照組各60例，對照組宮腔鏡下輸卵管疏通術，治療組選擇宮腹腔鏡聯閤手術。結果：兩組的痳醉時間、手術時間、術中齣血量、術後住院時間進行對比，差異無統計學意義（P ＞0.05）。治療組術後感染、齣血、低鈉血癥、低血壓等併髮癥總體髮生率明顯低于對照組（P ＜0.05）。治療組的術後6箇月與1年的妊娠率分彆為36.7％和80.0％，對照組分彆為20.0％和45.0％，治療組的術後6箇月與1年妊娠率明顯高于對照組（P ＜0.05）。治療組術後6箇月的性欲、性高潮、性心理、性交愉悅評分都明顯高于對照組（P ＜0.05）。結論：宮腹腔鏡聯閤治療女性輸卵管性不孕癥併不增加手術複雜度，術後併髮癥更少，能促進性生活質量與妊娠率的提高，值得推廣應用。
목적：탐토궁복강경연합치료수란관성불잉증대우임신여성생활질량적영향。방법：수란관성불잉증환자120례근거수궤추첨원칙분위치료조여대조조각60례，대조조궁강경하수란관소통술，치료조선택궁복강경연합수술。결과：량조적마취시간、수술시간、술중출혈량、술후주원시간진행대비，차이무통계학의의（P ＞0.05）。치료조술후감염、출혈、저납혈증、저혈압등병발증총체발생솔명현저우대조조（P ＜0.05）。치료조적술후6개월여1년적임신솔분별위36.7％화80.0％，대조조분별위20.0％화45.0％，치료조적술후6개월여1년임신솔명현고우대조조（P ＜0.05）。치료조술후6개월적성욕、성고조、성심리、성교유열평분도명현고우대조조（P ＜0.05）。결론：궁복강경연합치료녀성수란관성불잉증병불증가수술복잡도，술후병발증경소，능촉진성생활질량여임신솔적제고，치득추엄응용。
Objectives:To investigate the effects on quality of sexual life and pregnancy of laparoscopy combined hysteroscopy in treating oviductive infertility.Methods:120 oviductive infertility women were divided into the treatment group and the control group randomly,each of 60 cases.The control group was given tubal dredge op-eration under hysteroscopy,while the treatment group was given the laparoscopy combined hysteroscopy surgery. Results:Differences in the time of anesthesia,operative time,blood loss,postoperative hospital stay between the two groups were not statistically significant (P >0.05).The incidence rates of overall complication including post-operative infection,bleeding,hyponatremia and hypotension in the treatment group were significantly lower than the control group (P <0.05).The postoperative 6 months and 1 year of pregnancy rates in the treatment group were 36.7% and 80.0%,and were 20.0% and 45.0% in the control group,with statistically significant difference be-tween the two groups respectively (P <0.05 ).The sexual desire,orgasm,sexual psychology,sexual pleasure scores on postoperative 6 months in the treatment group were significantly higher (P <0.05).Conclusions:Lapa-roscopy combined hysteroscopy for treating oviductive infertility does not increase the complexity of the surgery,but with fewer complications that can promote the improvement of quality of sexual life and pregnancy that thus is worth widely applied.
