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腹腔镜与开腹输卵管整形术治疗输卵管不孕症的疗效观察
引用本文:阮正一,刘建华,东敏,张励. 腹腔镜与开腹输卵管整形术治疗输卵管不孕症的疗效观察[J]. 临床和实验医学杂志, 2010, 9(24): 1851-1852
作者姓名:阮正一  刘建华  东敏  张励
作者单位:上海交通大学附属上海市第九人民医院妇产科,上海,200011
摘    要:目的探讨腹腔镜手术与开腹手术治疗输卵管不孕症的临床效果对比。方法选择2005年1月至2008年12月在我院诊治的输卵管不孕症病例108例,根据患者及家属的意愿,分为开腹组(56例)和腹腔镜组(52例)。通过开腹及腹腔镜两种方式进行输卵管远端造口或(和)周围粘连分离,观察其短期临床指标和随访妊娠率。结果与开腹手术比较,腹腔镜手术的手术操作时间无差异(P〉0.05),术后自主排尿时间、肛门排气时间和住院时间明显缩短(P〈0.01)。两组随访期间不同时段的妊娠率相近(P〉0.05)。结论腹腔镜下输卵管整形术治疗输卵管不孕症的疗效与开腹手术相近,但明显缩短了患者肠道功能和泌尿系统功能的恢复时间和住院时间,是一种值得推荐的治疗手段。

关 键 词:不孕症  输卵管阻塞  腹腔镜  开腹手术  输卵管整形术

Clinical effect of salpingoplasty with laparoscopy or laparotomy in treatment of oviduct infertilitas feminis
RUAN Zheng-yi,LIU Jian-hua,DONG Min,et al.. Clinical effect of salpingoplasty with laparoscopy or laparotomy in treatment of oviduct infertilitas feminis[J]. Journal of Clinical and Experimental Medicine, 2010, 9(24): 1851-1852
Authors:RUAN Zheng-yi  LIU Jian-hua  DONG Min  et al.
Affiliation:RUAN Zheng-yi,LIU Jian-hua,DONG Min,et al.Department of Gynecology and Obstetrics,The Ninth People's Hospital,Shanghai,200011,China.
Abstract:Objective To evaluate the clinical effect of salpingoplasty with laparoscopy or laparotomy in treatment of oviduct infertilitas feminis.Methods One hundred and eight cases of tubal infertility diagnosed and treated in this hospital during January 2005 to December 2008 were allocated into two groups according to willingness of patients or their family members: laparotomy group (56 cases) and laparoscopy group (52 cases). Tubal distal stoma formation or/and isolation of adhesion were performed in patients of ...
Keywords:Infertility  Tubal obstruction  Laparoscopy  Open Surgery  Salpingoplasty  
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