中外健康文摘
中外健康文摘
중외건강문적
WORLD HEALTH DIGEST
2014年
3期
16-17
,共2页
腹腔镜%输卵管性不孕%妊娠率
腹腔鏡%輸卵管性不孕%妊娠率
복강경%수란관성불잉%임신솔
Laparoscopic%tubal factor infertility%pregnancy rate
目的：探讨腹腔镜手术对输卵管性不育的诊断与治疗意义。方法：回顾性分析2011年06月至2013年06月389例输卵管性不孕患者，分别行经腹腔镜盆腹腔粘连分离术、输卵管整形术、伞端成形术。术中评估输卵管损伤分期，术后6-24个月随访，分析术后妊娠结局及相关影响因素。结果：输卵管病变分期与术后宫内妊娠率明显相关，输卵管分期I、I、I I、IV期的宫内妊娠率分别为55.7%、26.3%、13%及6.9%。术后79.1%的妊娠发生于1年内。结论：术前输卵管病变程度是影响手术预后的主要因素，腹腔镜下输卵管损伤分期可评价输卵管损害的严重程度和术后的生殖预后。腹腔镜下输卵管整复术是治疗轻到中度输卵管病变的有效方法，能提高受孕率。术后最佳妊娠时间是术后1年内。
目的：探討腹腔鏡手術對輸卵管性不育的診斷與治療意義。方法：迴顧性分析2011年06月至2013年06月389例輸卵管性不孕患者，分彆行經腹腔鏡盆腹腔粘連分離術、輸卵管整形術、傘耑成形術。術中評估輸卵管損傷分期，術後6-24箇月隨訪，分析術後妊娠結跼及相關影響因素。結果：輸卵管病變分期與術後宮內妊娠率明顯相關，輸卵管分期I、I、I I、IV期的宮內妊娠率分彆為55.7%、26.3%、13%及6.9%。術後79.1%的妊娠髮生于1年內。結論：術前輸卵管病變程度是影響手術預後的主要因素，腹腔鏡下輸卵管損傷分期可評價輸卵管損害的嚴重程度和術後的生殖預後。腹腔鏡下輸卵管整複術是治療輕到中度輸卵管病變的有效方法，能提高受孕率。術後最佳妊娠時間是術後1年內。
목적：탐토복강경수술대수란관성불육적진단여치료의의。방법：회고성분석2011년06월지2013년06월389례수란관성불잉환자，분별행경복강경분복강점련분리술、수란관정형술、산단성형술。술중평고수란관손상분기，술후6-24개월수방，분석술후임신결국급상관영향인소。결과：수란관병변분기여술후궁내임신솔명현상관，수란관분기I、I、I I、IV기적궁내임신솔분별위55.7%、26.3%、13%급6.9%。술후79.1%적임신발생우1년내。결론：술전수란관병변정도시영향수술예후적주요인소，복강경하수란관손상분기가평개수란관손해적엄중정도화술후적생식예후。복강경하수란관정복술시치료경도중도수란관병변적유효방법，능제고수잉솔。술후최가임신시간시술후1년내。
Objective: Explore the impact of Laparoscopic surgery on Tubal Factor Infertility.Methods: According to previous Laparoscopy examination, 389 cases of infertility patients with tubal disease were reported from June 2011 to June 2013. Threemethods of treatment, Laparoscopic Dissection of Adhesions, Tubal Plastic Surgeryand angioplasty are selected in these cases. In this research, we’ve evaluated each patient’s stage of tubal disease, col ected post-operative fol ow-up information and patient’s pregnancy rate after 6~12 months. Results: A patient’s stage of tubal disease and her pregnancy rate are significantly correlated. Research data shows rate of intrauterine pregnancy from stage I to IV are 55.7%, 26.3%, 13.0% and 6.9% respectively. Among our successful cases, 79.1% of patients get pregnant within one year after surgery.Conclusion: Different stages of tubal diseases result in different Laparoscopy surgery outcomes. Taking an advantage of this evidence, we can predict risk of a Laparoscopic surgery based on an observation on a patient’s tubal status. In general, Tubal Plastic Surgery can greatly increase the chance of pregnancy, especial y for those with mild to moderate diseases. We recommend patients to get pregnant within one year after surgery.
