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目的探讨微型腹腔镜器械治疗输卵管性不孕的临床应用价值。方法选取2011~2013年南方医科大学附属南海医院收治的102例输卵管性不孕患者的临床资料,其中54例患者使用微型腹腔镜器械手术纳入微械组,48例使用普通腹腔镜器械手术患者纳入普械组,对比分析两组患者术后妊娠情况。结果微械组术后总妊娠率、宫内妊娠率及活产率[44.4%(24/54)、42.6%(23/54)、38.9%(21/54)]均高于普械组[25.0%(12/48)、18.8%(9/48)、16.7%(8/48)](P<0.05);微械组轻、中度输卵管病变患者的宫内妊娠率[64.7%(11/17)、41.7%(10/24)]明显高于普械组[25.0%(4/16)、18.2%(4/22)](P<0.05)。结论使用微型腹腔镜器械治疗轻、中度输卵管性不孕能提高术后宫内妊娠率。
Objective To investigate the clinical value of mini laparoscopic instruments in the treatment of tubal infertility. Methods Clinical data of 102 patients with tubal infertility admitted to Nanhai Hospital Affiliated to Southern Medical University from 2011 to 2013 were selected. Among them, 54 patients were treated with micro-laparoscopic surgery and 48 were treated with ordinary laparoscopic surgery General group, comparative analysis of two groups of patients after pregnancy. Results The total postoperative pregnancy rate, intrauterine pregnancy rate and live birth rate in the micro-mechanical group were significantly higher than those in the normal group [44.4% (24/54), 42.6% (23/54), 38.9% (21/54) The intrauterine pregnancy rate in patients with mild or moderate tubal disease was 64.7% (11/25) (12/48), 18.8% (9/48), and 16.7% (8/48) /17),41.7% (10/24)] was significantly higher than that of the normal group [25.0% (4/16), 18.2% (4/22)] (P <0.05). Conclusions The use of mini-laparoscopic instruments in the treatment of mild and moderate tubal infertility can improve the intrauterine pregnancy rate.