CAJ | 학술논문

目的：探究无气腹腔镜联合宫腔镜手术治疗纵膈子宫的临床价值。方法整群选取该院2010年8月-2014年5月住院部99例纵膈子宫患者作为研究对象，患者均采取无气腹腔镜联合宫腔镜手术治疗，观察患者治疗效果、手术及并发症情况，并对比患者术前术后妊娠情况。结果患者均一次性完成手术，效果良好，无严重并发症；手术前自然流产率与不孕不育率分别为44.44%、15.15%，术后自然流产率与不孕不育率分别为14.14%、3.03%，术后患者自然流产率与不孕不育率均明显低于术前，差异有统计学意义(P<0.05)。结论子宫纵膈患者采取无气腹腔镜联合宫腔镜手术治疗效果佳，可提升妊娠成功率，具有较高应用价值。
목적：탐구무기복강경연합궁강경수술치료종격자궁적림상개치。방법정군선취해원2010년8월-2014년5월주원부99례종격자궁환자작위연구대상，환자균채취무기복강경연합궁강경수술치료，관찰환자치료효과、수술급병발증정황，병대비환자술전술후임신정황。결과환자균일차성완성수술，효과량호，무엄중병발증；수술전자연유산솔여불잉불육솔분별위44.44%、15.15%，술후자연유산솔여불잉불육솔분별위14.14%、3.03%，술후환자자연유산솔여불잉불육솔균명현저우술전，차이유통계학의의(P<0.05)。결론자궁종격환자채취무기복강경연합궁강경수술치료효과가，가제승임신성공솔，구유교고응용개치。
Objective To explore the clinical value of gasless laparoscopic combined with hysteroscopic surgery in the treatment of mediastinum uterus. Methods 99 cases with mediastinum uterus admitted in In-patient Department of our hos-pital between August 2010 and May 2014 were selected as the subjects and all treated by gasless laparoscopic combined with hysteroscopic surgery. An observation was conducted on the treatment effect, status of surgery and incidence of compli-cations in both groups. And the status of pregnancy was compared before and after treatment. Results The surgery was com-pleted in all the patients at a time with good effect and no serious complications occurred. The rate of spontaneous abortion was much lower after surgery than that before surgery (14.14% vs 44.44%) with statistically significant difference, P<0.05. The rate of infertility was obviously lower after surgery than that before surgery(3.03%vs 15.15%) with statistically significant difference (P<0.05). Conclusion Gasless laparoscopic combined with hysteroscopic surgery has good effect on mediastinum uterus, which can improve the success rate of pregnancy with high application value.