Objective: To investigate clinical effect of laparoscopy for diagnosis and treatment of tubal obstruction infertility. Method: 90 cases of tubal obstruction infertility patients which were received and treated from January of 2009 to December of 2010 in our hospital were chosen, and through the laparoscope, every part in the abdominal and pelvic cavity of these patients was explored, Then according to the different prevalence of patients, different operation were choosed, including tubal ostomy, fallopian tube dilation, resection of peritubal adhesion etc. The fluent ability of oviducts were observated and the condition of intrauter-ine pregnancy were followed-up by telephone. Result: The fallopian tube patency rate was 71. 11% after surgery was significantly higher than 41.11% which is the rate of pre-operative ( P <0. 05 ), and all the deferences have statistics significance. And intrauterine pregnancy rate of patients was significantly improved. It reached 54.44% at 18 months after operation. Although the intrauterine pregnancy rate of 31.25% and 45. 83% for the secondary infertility 9-12 months were greater than 26.19% and 40. 48% of primary infertility ( P> 0. 05 ), the difference was not statistically significance. Conclusion: Laparoscope was used in tubal obstruction infertility has advantages, such as small incision, good vision, high precisional surgery, recovery quickly, fewer complications. And it can significantly improve intrauterine pregnancy rate, the effect was confirmed, deserves widespread recommendation.%目的:探讨腹腔镜用于输卵管梗阻不孕症诊治的临床效果.方法:选择我院于2009年1月至2010年12月收治的90例输卵管梗阻不孕症患者,在腹腔镜下,对患者腹、盆腔内各部位情况进行探查,然后根据患者不同的患病情况,选择采取不同手术,包括输卵管造口术、输卵管伞部扩张术、输卵管周围粘连松解术等.观察患者术后输卵管的通畅情况,并通过电话随访跟踪患者术后宫内妊娠情况.结果:手术后输卵管的通畅率71.11%显著高于手术前输卵管的通畅率41.11,且P<0.05,具有统计学意义;患者术后的宫内妊娠率有显著改善,并在18个月时达到了54.44%;虽然继发性不孕9-12个月的宫内妊娠率31.25%和45.83%分别大于原发性不孕的26.19% 和40.48%,但P>0.05,差异无统计学意义.结论:腹腔镜应用于输卵管梗阻不孕症,具有切口小、视野良好、手术精度高、恢复快、并发症少且能显著提高宫内妊娠率的优点,效果显著,值得在临床中推广.
展开▼
