[1]李红苓① 应小燕*.宫、腹腔镜联合诊治输卵管性不孕症改进手术方法后的妊娠结局[J].中国微创外科杂志,2016,16(03):217-220.
　Li Hongling,Ying Xiaoyan*..Pregnancy Outcomes of Oviduct Infertility Treated by Hysteroscopy Combined with Laparoscopy After Surgical Technique Improvement[J].Chinese Journal of Minimally Invasive Surgery,2016,16(03):217-220.
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宫、腹腔镜联合诊治输卵管性不孕症改进手术方法后的妊娠结局()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
16
期数:
2016年03期
页码:
217-220
栏目:
临床论著
出版日期:
2016-05-13

文章信息/Info

Title:
Pregnancy Outcomes of Oviduct Infertility Treated by Hysteroscopy Combined with Laparoscopy After Surgical Technique Improvement
作者:
李红苓① 应小燕*
（南京医科大学第二附属医院妇产科，南京210011）
Author(s):
Li Hongling;  Ying Xiaoyan*.
*Department of Obstetrics and Gynecology, The Second Affiliated Hospital of Nanjing Medical University, Nanjing 210011, China
关键词:
宫腔镜; 腹腔镜; 输卵管性不孕; 妊娠结局
Keywords:
Hysteroscopy; Laparoscopy; Oviduct infertility; Pregnancy outcome
文献标志码:
A
摘要:
目的探讨宫、腹腔镜联合治疗输卵管性不孕的手术方法改进后的妊娠结局。方法2007年1月~2010年12月77例因输卵管因素导致的不孕接受传统宫、腹腔腔镜联合治疗（传统组），并与2011年1月~2014年1月138例输卵管性不孕症接受改进手术方法的宫、腹腔镜联合治疗（改进组）进行回顾性比较，电话随访了解术后妊娠情况。结果2组均在宫、腹腔镜下顺利完成手术。改进组术中输卵管通畅情况显示通畅203条，通而不畅44条，不通27条；传统组通畅101条，通而不畅23条，不通30条，2组比较比较有统计学意义（Z=-2.189,P=0.029）。改进组术后1年内宫内自然妊娠率743%（101/136），显著高于传统组59.7%(46/77)（χ2=4.850，P=0.028）。结论宫、腹腔镜改进手术技巧诊治输卵管性不孕可提高复通率和复孕率，是输卵管性不孕症理想的诊治手段，值得推广。
Abstract:
ObjectiveTo discuss the pregnancy outcome of viduct infertility treated with hysteroscopy combined with laparoscopy with improved surgical techniques. MethodsA retrospective study was made on clinical history of 77 cases of tubal infertility who received the traditional hysteroscopy combined with laparoscopy from January 2007 to December 2010 (traditional group) and 138 cases who received improved skills of hysteroscopy combined with laparoscopy from January 2011 to January 2014 (improvement group). The postoperative pregnancy was followed up with telephone reviews.ResultsThe surgery was successfully completed in both groups. There were 27 obstructed oviducts, 44 partially obstructed oviducts and 203 unobstructed oviducts in the improvement group, which was better than the traditional group that had 30 obstructed, 23 partially obstructed and 101 unobstructed (Z=-2.189, P=0.029). The tubal patency rate within 1 year in the improvement group (74.3%, 101/136) was higher than that in the traditional group (59.7%, 46/77), with statistically significant differences (χ2=4.850, P=0.028). ConclusionImproved skills of hysteroscopy and laparoscopy for oviduct infertility can increase recanalization rate and pregnancy rate, which is the ideal diagnosis and treatment means currently.

参考文献/References:

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备注/Memo

备注/Memo:
*通讯作者，Email：xiaoyanying@yahoo.com①（江苏大学临床医学院2013级妇产科研究生，镇江212000）
更新日期/Last Update: 2016-05-13