不同手术方式对输卵管近端梗阻的应用效果研究.docxVIP

不同手术方式对输卵管近端梗阻的应用效果研究【摘要】目的：研究观察腹腔镜下采用宫腔镜输卵管插管术治疗输卵管近端梗阻的临床应用效果，以期为输卵管近端梗阻的治疗提供新的方法。方法：采用回顾性分析的方法对本院在2012年6月~2014年6月间收治的136例输卵管近端梗阻造成的不孕患者进行研究，按手术治疗方式分为观察组和对照组，其中观察组患者71例，采用腹腔镜下宫腔镜输卵管插管术治疗，对照组患者65例，采用输卵管介入复通术治疗，并对两组患者进行为期2年的随访。比较两组患者的术后输卵管的疏通情况、再次阻塞情况的发生，以及对患者在随访期间出现妊娠情况和并发症的发生率比较。结果：观察组患者术后输卵管疏通率为91.55%(65/71)，对照组患者术后疏通率为73.85%(48/65)，组间比较差异显著(P0.05)。随访2年后观察组患者输卵管再次阻塞率为4.23%(3/71)，对照组为15.38%(9/65)，组间比较差异显著(P0.05)。随访2年后观察组患者再次妊娠率为64.79%(46/71)，对照组组妊娠率为44.62%(29/65)，组间比较差异明显(P0.05)，观察组并发症发生率为4.23%(3/71)，对照组并发症发生率为15.38%(10/65)，组间比较差异显著(P0.05)。结论：腹腔镜下宫腔镜输卵管插管术治疗输卵管近端梗阻不孕患者的手术操作简便、术后疗效显著，有着较高的输卵管疏通率和妊娠率。因此，该手术方法可推荐为临床上治疗输卵管近端阻塞的首选方法。【关键词】腹腔镜；宫腔镜输卵管插管术；输卵管介入复通术；输卵管梗阻Study on the effect of different surgical methods in the treatment of proximal tubal obstruction[Abstract] Objective: To observe the clinical effect of hysteroscopic tubal catheterization in the treatment of proximal tubal obstruction, so as to provide a new method for the treatment of proximal tubal obstruction. Methods: using the method of analysis of our hospital in June 2012 ~2014 year in June treated 136 cases of proximal tubal obstruction infertility patients were studied retrospectively, according to surgical treatment were divided into observation group and control group, including 71 patients in the observation group treated with laparoscopic uterine cavity mirror oviduct intubation treatment, control 65 cases of patients with fallopian tubal recanalization treatment, and two groups of patients were followed up for 2 years. Comparison of the two groups of patients after the operation of the fallopian tube dredge, the occurrence of re obstruction, as well as the follow-up of patients during pregnancy. Results: the postoperative tubal patency rate of the observation group was 91.55% (65/71), while the control group was significantly higher than that of the control group (48/65), and the difference was significant between the two groups () (P0.05). After 2 years of follow-up, the fallopian tube obstruc