输卵管不孕后妊娠结局宫腔镜和腹腔镜联合诊治80例临床研究分析.docVIP

输卵管不孕后妊娠结局宫腔镜和腹腔镜联合诊治80例临床研究分析 　　【摘要】目的：探讨输卵管不孕后采用宫腔镜与腹腔镜联合诊治对妊娠结局的影响。方法：选择我院2007年5月至2011年5月收治的输卵管不孕患者80例，采取宫腔镜与腹腔镜联合诊断及治疗，就临床结果进行回顾性分析。结果：80输卵管不孕例患者依据HR分类标准将输卵管病变分为3度，其中19例为轻度，占23.8%；中度21例，占26.2%；重度40例，占50%。不同输卵管病变程度的3组患者在年龄、人流史、不孕年限、即往有无宫外孕史、盆腔炎史及手术史等基本资料上比较差异无统计学意义（P0.05）。80例患者经宫腔镜和腹腔镜联合诊治术后27例宫内妊娠，占33.8%；异位妊娠4例，占5%；49例行2年随访仍未妊娠，占61.2%。输卵管不同病变程度术后发生宫内妊娠的比例分别为，轻度11例，占57.8%；中度12例，占57.1%，重度4例，占10%。其中宫内妊娠率输卵管轻度与中度病变者差异无统计学意义（P0.05）。与重度比较差异有统计学意义（P0.05）。结论：术前全面、准确的对输卵管病变进行评估，依据患者情况选择合适的手术方式，对宫-腹腔镜手术需有选择的应用，另外，积极预防和减轻输卵管病损，从根本上使输卵管不孕发生率降低，提高整体生存质量。 　　【关键词】输卵管不孕后妊娠结局；宫腔镜；腹腔镜80 cases of tubal infertility pregnancy outcome after hysteroscopy and laparoscopy in the diagnosis and treatment of 80 cases of clinical analysis 　　Sun WeiliLu HepingLiu XiaoHe Shujuan 　　（Shenzhen City， Guangdong Province Peoples Hospital of Pinghu， Guangdong， Shenzhen， 518000） 　　【Abstract】Objective： To investigate the tubal infertility by hysteroscopy and laparoscopy in the diagnosis and treatment of the effects on pregnancy outcome. Methods： in our hospital from 2007 May to 2011 May treated 80 patients with tubal infertility， adopt the combined hysteroscopy and laparoscopy in the diagnosis and treatment， the clinical results of a retrospective analysis. Results： 80 of tubal infertility patients according to HR classification criteria will tubal lesions into 3 degrees， including 19 cases of mild， moderate in 21 cases， accounting for 23.8%； 26.2%； 40 cases were severe， accounted for 50%. Different tubal lesion degree of patients in 3 groups of age， history of abortion， infertility duration， that is to have no history of ectopic pregnancy， pelvic inflammatory disease history and history of operation basic data to compare difference not to have statistical significance （ P0.05 ）. 80 cases were treated with hysteroscopy and laparoscopy in the diagnosis and treatment of 27 cases of postoperative intrauterine pregnancy， accounted for 33.8%； 4 cases of ectopic pregnancy in 49 cases， accounting for 5