腹腔镜输卵管病变分期与手术效果分析.docVIP

精品论文 参考文献 腹腔镜输卵管病变分期与手术效果分析 刘媛琴 　　(抚顺现代医院 辽宁抚顺 113008) 　　【摘要】目的：探讨腹腔镜手术对输卵管性不育的诊断与治疗意义。方法: 回顾性分析2011年06月至2013年06月389例输卵管性不孕患者，分别行经腹腔镜盆腹腔粘连分离术、输卵管整形术、伞端成形术。术中评估输卵管损伤分期，术后6-24 个月随访，分析术后妊娠结局及相关影响因素。结果：输卵管病变分期与术后宫内妊娠率明显相关，输卵管分期I、II、III、IV期的宫内妊娠率分别为55.7 %、26.3 %、13 %及6.9%。术后79.1%的妊娠发生于1年内。结论：术前输卵管病变程度是影响手术预后的主要因素，腹腔镜下输卵管损伤分期可评价输卵管损害的严重程度和术后的生殖预后。腹腔镜下输卵管整复术是治疗轻到中度输卵管病变的有效方法，能提高受孕率。术后最佳妊娠时间是术后1年内。 　　【关键词】腹腔镜 输卵管性不孕 妊娠率 　　【中图分类号】R713.5 【文献标识码】A 【文章编号】1672-5085（2014）03-0016-02 　　 　　Comparative analysis between each stage of fallopian tubal disease and its corresponding Laparoscopy surgery outcomes 　　Liu Yuanqing 　　CHENGDU TIANDA INFERTILITY HOSPITAL 610041 　　【Abstract】 Objective: Explore the impact of Laparoscopic surgery on Tubal Factor Infertility.Methods: According to previous Laparoscopy examination, 389 cases of infertility patients with tubal disease were reported from June 2011 to June 2013. Threemethods of treatment, Laparoscopic Dissection of Adhesions, Tubal Plastic Surgeryand angioplasty are selected in these cases. In this research, wersquo;ve evaluated each patientrsquo;s stage of tubal disease, collected post-operative follow-up information and patientrsquo;s pregnancy rate after 6～12 months.Results: A patientrsquo;s stage of tubal disease and her pregnancy rate are significantly correlated. Research data shows rate of intrauterine pregnancy from stage I to IV are 55.7%, 26.3%, 13.0% and 6.9% respectively. Among our successful cases, 79.1% of patients get pregnant within one year after surgery.Conclusion: Different stages of tubal diseases result in different Laparoscopy surgery outcomes. Taking an advantage of this evidence, we can predict risk of a Laparoscopic surgery based on an observation on a patientrsquo;s tubal status. In general, Tubal Plastic Surgery can greatly increase the chance of pregnancy, especially for those with mild to moderate diseases. We recommend patients to get pregnant with