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目的探讨腹腔镜辅助治疗输卵管性不孕症的效果。方法输卵管阻塞导致不孕的女性患者80例根据术中盆腔粘连情况分为轻中度粘连40例和重度粘连40例,在气管插管静吸复合全麻行宫腹腔镜联合手术。结果轻中度粘连组有效率为95.0%,重度粘连组有效率为75.0%,轻中度粘连组有效率高于重度粘连组(P<0.05)。轻中度粘连组的通畅率为100.0%,重度粘连组的通畅率为87.5%,轻中度粘连组的通畅率明显高于重度粘连组(P<0.05)。两组的妊娠率分别为65.0%和37.5%,两组对比差异明显(P<0.05)。结论输卵管性不孕症是由慢性输卵管炎等引起,腹腔镜辅助宫腔镜治疗疗效确切,同时预后结果与盆腔粘连密切相关。
Objective To investigate the effect of laparoscopic assisted treatment of tubal infertility. Methods Eighty female patients with tubal obstruction leading to infertility were divided into mild-moderate adhesions (40 cases) and severe adhesions (40 cases) according to intra-operative pelvic adhesions. The patients underwent tracheal intubation and general anesthesia combined with laparoscopic surgery. Results The effective rate of mild to moderate adhesion group was 95.0%, and that of severe adhesion group was 75.0%. The efficiency of mild to moderate adhesion group was higher than that of severe adhesion group (P <0.05). The patency rate was 100.0% in mild to moderate adhesion group and 87.5% in severe adhesion group, and the patency rate in mild to moderate adhesion group was significantly higher than that in severe adhesion group (P <0.05). The pregnancy rates of the two groups were 65.0% and 37.5% respectively, with significant differences between the two groups (P <0.05). Conclusion Tubal infertility is caused by chronic salpingitis, laparoscopy assisted hysteroscopy treatment of exact effect, and the prognosis of pelvic adhesions and outcome are closely related.