腹腔镜手术治疗盆腔炎性疾病所致不孕症的临床分析.docVIP

精品论文 参考文献 腹腔镜手术治疗盆腔炎性疾病所致不孕症的临床分析 黄 平 （新都区妇幼保健院四川成都 610000） 【摘 要】目的：探讨腹腔镜手术治疗盆腔炎性疾病所致不孕症的临床效果。方法：选取我院自2009年8月至2012年8月收治的86例由盆腔炎性疾病所致不孕症患者随机分为观察组与参考组，各为43例，观察组患者在腹腔镜下手术治疗，参考组患者采用常规药物治疗，治疗结束后对患者进行为期24月的随访，比较两组患者的妊娠率、妊娠结局临床症状消失状况。结果：观察组患者妊娠率为97.7%，参考组妊娠率为76.7%，两组比较有统计学意义，Plt;0.05；观察组患者妊娠结局及临床症状改善情况均明显优于参考组，Plt;0.05，有统计学意义。结论：腹腔镜手术治疗盆腔炎性疾病所致不孕症疗效确切，妊娠结局较好，值得推广。 【关键词】腹腔镜；盆腔炎性疾病；不孕症 【Abstract】 Objective: To investigate the clinical effect of pelvic inflammatory disease caused by infertility treated by laparoscopic operation. Methods: 86 cases in our hospital from 2009 August to 2012 August were treated by pelvic inflammatory disease caused by infertility were randomly divided into the observation group and the reference group, each for 43 cases of laparoscopic operation, the patients in the treatment group, the reference group were treated with routine drug treatment, after the end of treatment to the patients for a period of 36 months of follow-up, compared two groups of patients with pregnancy rate, clinical symptoms disappeared in pregnancy outcome. Results: the patients in the observation group the pregnancy rate was 97.7%, pregnancy rate was 76.7% in the reference group, the two groups was statistically significant, Plt;0.05; pregnancy outcome observed group of patients and clinical symptoms were significantly better than the reference group, Plt;0.05, had statistical significance. Conclusion: the curative effect of laparoscopic operation in the treatment of pelvic inflammatory disease or infertility, pregnancy outcome is good, worthy of promotion. 【keyword】 laparoscopic; pelvic inflammatory disease; infertility 近年来，随着女性社会压力的加大及流产人数的增多，盆腔炎导致疾病所致不孕症人数不断增多，严重影响患者生活质量。传统治疗效果甚微，腹腔镜下手术治疗是临床新兴的治疗手段，效果显著。笔者对我院收治的86例盆腔炎性疾病所致不孕症患者进行分组研究，具体报告如下。 1资料与方法 1.1临床资料 我院自2009年8月至2012年8月收治的86例由盆腔炎性疾病所致不孕症患者，年龄22-39岁，平均年龄28.2岁，原发性不孕63例，继发性不孕23例，其中有过流产史29例，自然分娩史12例。将患者随机分为观察组与参考组，各为43例，两组患者年龄、性别、病情无显著差异，Pgt;0.05，无统计学意义，可进行比较。 1.2方法 观察