腹腔镜下不同术式对双侧输卵管积水致不孕患者妊娠结局的影响.docVIP

精品论文 参考文献 腹腔镜下不同术式对双侧输卵管积水致不孕患者妊娠结局的影响 （虞城县人民医院妇产科 河南商丘 476300） 　　【摘要】目的:探讨腹腔镜下不同术式对双侧输卵管积水致不孕患者妊娠结局的影响。方法:选取2013年1月至2015年1月我院收治的双侧输卵管积水致不孕患者70例，将其随机分为两组，各35例。两组患者均给予腹腔镜手术进行治疗。对照组腹腔镜下行输卵管切除术，而观察组行输卵管近端离断远端造口术。对比两组患者妊娠结局。结果:观察组优质胚胎率、卵裂率、临床妊娠率等与对照组相比，均无显著差异（P＞0.05）。结论:腹腔镜下输卵管切除术与输卵管近端离断远端造口术均可明显提高患者临床妊娠率、优质胚胎率等，均具有改善妊娠结局的显著效果，且安全可靠，术中应根据患者病情选用最合适的术式。 　　【关键词】腹腔镜不同术式；双侧输卵管积水；妊娠结局 　　【中图分类号】R713 【文献标识码】A 【文章编号】1007-8231（2016）18-0029-02 　　 Different laparoscopic surgical procedures on patients with bilateral hydrosalpinx cause infertility Pregnancy Outcome 　　 Zhu Yunying .Yucheng County Peoples Hospital of Henan Yucheng,476300 　　【Abstract】Objective To explore the different laparoscopic surgical procedures on patients with bilateral hydrosalpinx cause infertility affect pregnancy outcome. Methods January 2013 to January 2015 in our hospital with bilateral hydrosalpinx cause infertility, 70 patients were randomly divided into two groups, 35 patients in each. Two groups of patients were treated with laparoscopic surgery for treatment. Group laparoscopic tubal resection, observation arm amputated proximal tubal distal colostomy. Compared two groups of patients with pregnancy outcome. Results The quality embryo rate, compared with the control group, there was no significant difference in cleavage rate, clinical pregnancy rate (Pgt; 0.05). Conclusion Laparoscopic salpingectomy distal and proximal tubal transection of ostomy patients could significantly improve the clinical pregnancy rate, high quality embryo rate, have improved pregnancy outcome of a significant effect, and secure, surgery should be based on the patients condition choose the most suitable surgical procedures. 　　【Key words】Different laparoscopic surgical procedures; Bilateral tubal water; Pregnancy Outcome 　　输卵管积水是由盆腔感染、流产、不洁性交等造成输卵管壁粘连、水肿、阻塞而形成的输卵管炎症[1]。输卵管积水主要通过影响子宫蠕动以及拾卵功能，增加卵子与精子相遇的难度而导致患者受孕困难。体外受精-胚胎移植（IVF-ET）是治疗不孕症的要方式之一，尤其是针对受精困难者[2]。目前，已有相关文献报道显示[3]，IVF-ET在治疗因