摘要
目的 对 48例输卵管远端积水致不孕患者 ,经腹腔镜输卵管造口、粘连分解等手术治疗 ,了解术后妊娠率、妊娠时间的频数分布特点。 方法 回顾分析因输卵管远端积水阻塞致不孕 48例 ,采用电视腹腔镜下袖口状造口术 ,伞端成形术 ,电凝针分离粘连 ,恢复解剖结构 (其中辅以圆韧带悬吊术 7例 ,多囊卵巢钻孔 2例 ,子宫内膜异位症病灶清除 1例 ,输卵管系膜囊肿剔除术 1例 )。 结果 手术结束前通液检测 ,双侧输卵管通畅 43例 ,单侧通畅 4例 ,双侧完全不通 1例。术后随访 4～ 3 0个月 ,总妊娠率 5 0 % ( 2 4/ 48) ,宫内妊娠 2 3例 (其中单侧积水患者 13例 ,双侧积水患者 10例 ) ,宫外孕 1例。盆腔中重度粘连者妊娠率 2 7.78% ( 5 / 18) ,轻度粘连者妊娠率 60 .0 0 % ( 18/ 3 0 )。术后 18个月内妊娠 2 3例 ,占总妊娠数的 95 .83 %。 结论 腹腔镜手术对治疗输卵管远端积水性不孕疗效尚佳 ,大多数患者在术后
Objective To investigate postoperative pregnancy rate, frequency distribution of pregnancy time of infertility patients who had undergone laparoscopic salpingostomy and adhesion with distal hydrosalpinx. Methods 48 cases of infertility patients with hydrosalpinx were analyzed retrospectively. Adhesion was dissected for the anatomic reconstruction of fallopian tube. Salpingostomy ,cystectomy and other methods were performed in the same time ( round ligament suspension was done in 7 cases, polycystic ovary bouche in 2 cases, endometriosis resection in 1 case, mesosalpinx cystectomy in 1 case). Results Bilateral tube be unobstructed in 43 cases, unilateral tuba unobstructed in 4 cases, and fail to reconstruction of bilateral tubes was in 1 case postoperatively. The total pregnancy rate was 50 %(24/48). Intra-uterus pregnancy existed in 23 cases, and ectopic pregnancy in 1 case with 4-30 months follow-up. Conclusion The treatment of distal hydrosalpinx by laparoscopy is effective and safe. Most patients can be pregnant in 18 months postoperatively.
出处
《浙江临床医学》
2005年第3期233-234,共2页
Zhejiang Clinical Medical Journal
