| 腹腔镜治疗输卵管积水性不孕58例分析 |
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| 引用本文： | 都红蕾,姚吉龙,刘剀,张丽,古衍,徐瑾. 腹腔镜治疗输卵管积水性不孕58例分析[J]. 中国妇幼保健, 2009, 17(17) |
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| 作者姓名： | 都红蕾 姚吉龙 刘剀 张丽 古衍 徐瑾 |
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| 作者单位： | 南方医科大学附属深圳市妇幼保健院妇科,广东深圳,518028 |
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| 摘 要： | 目的:通过分析58例输卵管积水不孕患者经腹腔镜治疗后受孕的情况,进一步评价腹腔镜在治疗输卵管积水性不孕中的作用。方法:对于就诊的58例输卵管积水患者实施腹腔镜手术,术中进行输卵管评分,术后至少随访2年,了解其受孕情况。结果:研究组与对照组自然受孕率差异有统计学意义(P<0.01);术后最佳受孕时间为1年内;输卵管评分低者术后直接行助孕措施,成功率为21.4%。结论:术时的评估及手术改善盆腔的内环境同样重要,由于术后自然受孕率低,对于输卵管评分低和或伴有其他不孕因素的患者,术后及早采取助孕措施是良好的选择。
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| 关 键 词： | 输卵管积水 不孕 腹腔镜 |
Analysis on effect of laparoscopy on hydrosalpinx infertility of 58 cases |
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| Abstract: | Objective:To analyze the pregnant outcomes of 58 cases treated by laparoscopy,evaluate the effect of laparoscopy on hydrosalpinx infertility.Methods:58 cases with hydrosalpinx were operated under laparoscopy and followed up at least 2 years.Pregnancy rate of 58 cases was investigated.Results:There was significant difference in pregnancy rate between study group and control group(P<0.01).The best time to conceive was within 1 year after operation.Pregnancy rate of the cases adopting IVF-ED directly because of low tubal score was 21.4%.Conclusion:Assessment during operation is as important as internal environment improved by surgery.Patients with low tubal score and/or accompanied by other factors of infertility,IVF-ET is a good choice. |
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| Keywords: | Hydrosalpinx Infertility Laparoscopy |
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