| 腹腔镜治疗盆腔粘连输卵管远端阻塞146例临床分析 |
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| 引用本文： | 葛华,洪高明.腹腔镜治疗盆腔粘连输卵管远端阻塞146例临床分析[J].内蒙古医学杂志,2006,38(11):1012-1013. |
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| 作者姓名： | 葛华 洪高明 |
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| 作者单位： | 包头医学院第一附属医院妇产科,内蒙古,包头,014010 |
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| 摘 要： | 目的:评价腹腔镜输卵管造口、粘连分解等手术治疗盆腔粘连输卵管远端阻塞性不孕的疗效。方法:腹腔镜下分离粘连,恢复解剖结构,并进行伞端成形术、袖口状造口术及病灶清除术等综合治疗。结果:输卵管远端造口91例,行粘连分离等其它输卵管重建术55例。合并多囊卵巢打孔24例,子宫内膜异位症病灶清除9例,子宫小肌瘤剔除3例,输卵管系膜囊肿剔除术2例。手术结束前腹腔镜下通液,双侧输卵管通畅117例,单侧通畅29例。术后随访2年,宫内妊娠率47.26%(69/146),宫外孕7.53%(11/146)。结论:腹腔镜手术治疗盆腔粘连输卵管远端阻塞性不孕有效,但宫外孕的高发生率值得关注。
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| 关 键 词： | 腹腔镜 不育 输卵管造口 |
| 文章编号： | 1004-0951（2006）11-1012-02 |
| 收稿时间： | 2006-07-01 |
| 修稿时间： | 2006-07-01 |
Laparoscopy in Treatment of Distal Salpingemphraxis and Adhesion in Pelvic Cavity (Report of 146 Cases) |
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| GE Hua,HONG Gao-ming.Laparoscopy in Treatment of Distal Salpingemphraxis and Adhesion in Pelvic Cavity (Report of 146 Cases)[J].Inner Mongolia Medical Journal,2006,38(11):1012-1013. |
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| Authors: | GE Hua HONG Gao-ming |
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| Institution: | Department of Obsterics and Crynecology, The Affiliated Hospital of Baotou Medical College, Baotou 014010 China |
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| Abstract: | Objective:To evaluate the effect of laparoscopy on infertility induced by distal salpingemphraxis and adhesion in pelvic cavity.Methods:The adhesion was dissected by laparoscopy,combined with salpingostomy,cystectomy,removal of lesion.Results:91 cases performed salpingostomy,55 dissection or removal of lesion.The bilateral uterine tubes were unobstructed in 117 cases,and the single uterine tube was unobstructed in 29 cases.Followed up 2 years,the rate of intra uterine pregnancy was 47.26%,that of metacyesis was 7.53%.Conclusion:Laparoscopy is effective in treating infertility induced by distal salpingemphraxis and adhesion in pelvic cavity.The higher occurence of metacyesis should be wared. |
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| Keywords: | Laparoscope Infertility Salpingostomy |
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