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5年来(1989~1993)对患有子宫内膜异位症(EM)和盆腔炎性疾病(PID)的32例不孕症患者应用腹腔镜技术进行诊断与手术,并施行腹腔镜下腹部子宫悬吊术,术后针对病因用药物治疗。随访2~6年,总妊娠率56.3%(18/32);活产率53.1%(17/32);流产率3.1%(1/32)。其中EM术后妊娠率85%(11/13),PID46%(6/13),两组间差异极其显著(P<0.01),说明EM组术后妊娠率极显著地高于PID组。提示:对于输卵管通畅的EM和PID不孕患者,腹腔镜下腹部子宫悬吊术不仅可以纠正后位子宫,防止术后再度粘连,消除或减轻疾病引起的症状,还可提高术后妊娠率,为EM与PID的不孕患者提供了一个新的腹腔镜手术,方法简单,容易掌握,不需增力。设备与器械,值得推广与应用。
In the past five years (1989 ~ 1993), 32 cases of infertility with endometriosis (EM) and pelvic inflammatory disease (PID) were diagnosed and operated by laparoscopy and laparoscopic abdominal abdomen Suspension surgery, postoperative medication for the cause of treatment. The follow-up ranged from 2 to 6 years. The total pregnancy rate was 56.3% (18/32). The live birth rate was 53.1% (17/32). The abortion rate was 3.1% (1/32). Among them, the postoperative pregnancy rate of EM group was 85% (11/13) and PID46% (6/13), with significant difference between the two groups (P <0.01), indicating that the postoperative pregnancy rate in EM group was significantly higher than that in PID group . Tip: tubal unobstructed EM and PID infertility patients, laparoscopic abdominal uterine suspension can not only correct the posterior uterus, to prevent re-adhesion after surgery to eliminate or reduce the symptoms caused by the disease, but also improve the rate of postoperative pregnancy, It provides a new laparoscopic surgery for infertile patients with EM and PID. The method is simple, easy to grasp and does not need to increase power. Equipment and equipment, it is worth promoting and application.