腹腔镜术后置生物膜输卵管再通的临床观察.pdfVIP

中国妇幼健康研究2010年第2l卷第2期 239 腹腔镜术后置生物膜输卵管再通的临床观察 魏庆云，封维娜 ，刘 洪，刘建平 ，罗 平 (万州区妇幼保健院妇科，重庆 万州 404000) 【摘 要】目的 观察在腹腔镜治疗输卵管远端粘连阻塞性不孕术后放置生物膜 (即可吸收医用膜)后输卵管再通畅情况。 方法 于腹腔镜下分离粘连，恢复解剖结构，并对患者进行伞端成形术、袖 12状造 口术治疗，术后放置生物膜者45例为观察组，术 后未放置者44例为对照组，比较两组输卵管再通率。结果 观察组和对照组术后2个月均行输卵管碘油造影，输卵管再通率比 较差异有统计学意义( =4．569，P0．05)。结论 生物膜在腹腔镜手术治疗输卵管远端粘连阻塞性不孕中有效。 [关键词]腹腔镜；生物膜；不孕症；输卵管再通 doi：10．3969／j．issn．1673—5293．2010．02．044 [中图分类号]R713．5 [文献标识码]A [文章编码]1673—5293(2010)02—0239一o3 A clinicalobservationoffallopiantuberecanalizationwith puttingbiological membraneafterlaparoscopicoperation WEIQing-yun，FENGWei-na，L1UHong，LIUJian-ping，LUOPing (WanzhouDistrictMaternalandChildHealthHospitalofChongqing，Chongqing404000，China) [Abstract]0bjectiveToobservetherapeuticeffectofputtingabsorbablebiologicalmembraneafterlaparoscopieoperationfortabal recanalizationofwomenwithinfertilitycausedbydistaltubal adhesiveobstruction．MethodsIntheobservationgroup，hteadhesionsin distal fallopian tubeof 45 women with infertility were dissected wim laparoscope for anatomic reconstruction．fimbrioplasty and salpingostomywereperformedonunderlaparoscope，thenbiologicalmemb raneswereput．Inhtecontrolgroup，44womenwithinfertility alsowereperfomredonadhesiondissection，fimbrioplastyandsalpingostomy，butthebiologicalmemb raneswerenotputinthem．The fallopiantuberecanalizationratewerecomparedbetweenthe0bservationgroupandthecontrolrgoup．ResultsTwomonthslater．byiodized oilsalpingography，therewerestatisticallysignificantdifferencesinfallopiantuberecanalizetionratebetweenthewtogroups(X2=4．569， P0．05)．CondusionThebiologicalmembraneputafterlaparoseopicoperationiseffectiveintreatmentoffemaleinfertilitycausedby distal tubaladhesiveobstruction． [Keywords]laparoscope；biologicalmembrane；