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腹腔镜下输卵管修复整形术治疗输卵管性不孕的效果分析 被引量:5

Analysis of the effect of laparoscopic tubal repair plastic surgery in the treatment of tubal infertility
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摘要 目的 探讨腹腔镜下输卵管修复整形术治疗输卵管性不孕疾病的临床治疗效果.方法 选取57例输卵管性不孕患者为研究对象,将其根据随机数字表法分为两组.其中观察组患者30例,对其行腹腔镜下输卵管修复整形受术治疗.对照组患者27例,行传统开腹手术治疗.观察比较两组患者手术时间、肠道排气时间、术后住院时间及术后两年内患者宫内妊娠的情况.结果 观察组患者平均手术时间为(43.4±8.7)min,术后肠道排气时间为(13.7±3.5)h,术后住院时间为(3.8±1.2)d,均短于对照组的(81.2±9.2)min、(70.6±10.2)h、(9.1±1.4)d(t=11.32、15.76、9.76,均P〈0.05).观察组术后12、24个月妊娠率分别为56.7%、83.3%,均高于对照组的29.6%、51.9%(χ^2=8.76、8.98,均P〈0.05).结论 腹腔镜下输卵管整形手术创口微小,治疗输卵管性不孕的治疗效果显著,值得在基层医院推广. Objective To explore the effect of laparoscopic tubal repair plastic surgery in the treatment of tubal infertility. Methods According to the digital table,57 tubal infertility patients were randomly divided into two groups. 30 cases in the observation group were given laparoscopic tubal repair plastic surgery. 27 cases in the control group were given the traditional open surgery. The operative time, intestinal exhaust time, postoperative hospital stay and intrauterine pregnancy within two years of two groups were observed and compared. Results The operative time, postoperative intestinal exhaust time, postoperative hospital stay of the observation group were ( 43.4 ± 8.7 ) min, ( 13.7 ± 3.5 ) h, ( 3.8± 1.2 ) d, which were significantly shorter than those of the control group [ ( 81.2 ± 9.2 ) rain, (70.6 ± 10.2)h, (9. 1±1. 4)d ] ( t = 11. 32,15.76,9.76, all P 〈 0.05 ). The pregnancy rates postoperative 12 months and 24 months in observation group were 56.7% and 83.3% ,which were significantly higher than those of the control group (29.6% ,51.9 % ) (X^2 =8.76,8.98,all P〈0.05). Conclusion Laparoscopic tubal plastic surgery has significant efficacy in the treatment of tubal infertility, and it is worth promoting in the primary hospital.
作者 邓云
出处 《中国基层医药》 CAS 2014年第4期521-522,共2页 Chinese Journal of Primary Medicine and Pharmacy
关键词 输卵管 不育 女(雌)性 腹腔镜 Tubal infertility Laparoscopy Pregnancy Minimally invasive
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