输卵管高压灌注联合腹腔镜技术诊治女性不孕症的应用效果
|
摘要
目的探讨输卵管高压灌注联合腹腔镜技术诊治女性不孕症的应用效果。方法 80例女性不孕症患者,按照先后序列号(1～60)分为联合治疗组和单独治疗组,各40例。联合治疗组采用输卵管高压灌注联合腹腔镜技术治疗,单独治疗组采用腹腔镜技术治疗。比较两组患者术中术后指标、输卵管再通情况及妊娠情况。结果两组患者手术时间比较,差异无统计学意义(P>0.05);联合治疗组患者术中出血量(34.7±5.5)ml显著少于单独治疗组的(61.6±5.5)ml,住院时间(7.6±1.6)d显著短于单独治疗组的(10.2±1.3)d,术后肛门排气时间(10.2±1.4)d显著短于单独治疗组的(14.2±2.3)d,差异均具有统计学意义(P<0.05)。联合治疗组患者输卵管再通率、自然妊娠率分别为90.0%(36/40)、72.5%(29/40),均显著高于单独治疗组的72.5%(29/40)、50.0%(20/40),差异具有统计学意义(P<0.05);但两组患者异位妊娠率比较,差异无统计学意义(P>0.05)。结论输卵管高压灌注联合腹腔镜技术诊治女性不孕症的应用效果较单独腹腔镜技术显著,值得临床推广。
Objective To discuss the application effect of tubal hyperbaric perfusion combined with laparoscopy in the diagnosis and treatment of female infertility. Methods A total of 80 female infertility patients were divided by visiting order(1～60) into combined treatment group and single treatment group, with 40 cases in each group. Combined treatment group was treated with tubal hyperbaric perfusion combined with laparoscopy, and single treatment group was treated with laparoscopy. Comparison were made on intraoperative and postoperative indicators, fallopian tube recanalization and pregnancy between the two groups. Results Both groups had no statistically significant in operation time(P>0.05). Combined treatment group had significantly less intraoperative bleeding volume as(34.7±5.5) ml than(61.6±5.5) ml in single treatment group, significantly shorter hospitalization time as(7.6±1.6) d than(10.2±1.3) d in single treatment group, and significantly shorter postoperative anal exhaust time as(10.2±1.4) d than(14.2±2.3) d in single treatment group. Their difference was statistically significant(P<0.05). Combined treatment group had significantly higher fallopian tube recanalization rate and natural pregnancy rate respectively as 90.0%(36/40) and 72.5%(29/40) than 72.5%(29/40) and 50.0%(20/40) in single treatment group, and their difference was statistically significant(P<0.05). But both groups had no statistically significant difference in ectopic pregnancy rate(P>0.05). Conclusion The application effect of tubal hyperbaric perfusion combined with laparoscopy in the diagnosis and treatment of female infertility is better than that of laparoscopy alone, and it is worthy of clinical promotion.
Objective To discuss the application effect of tubal hyperbaric perfusion combined with laparoscopy in the diagnosis and treatment of female infertility. Methods A total of 80 female infertility patients were divided by visiting order(1～60) into combined treatment group and single treatment group, with 40 cases in each group. Combined treatment group was treated with tubal hyperbaric perfusion combined with laparoscopy, and single treatment group was treated with laparoscopy. Comparison were made on intraoperative and postoperative indicators, fallopian tube recanalization and pregnancy between the two groups. Results Both groups had no statistically significant in operation time(P>0.05). Combined treatment group had significantly less intraoperative bleeding volume as(34.7±5.5) ml than(61.6±5.5) ml in single treatment group, significantly shorter hospitalization time as(7.6±1.6) d than(10.2±1.3) d in single treatment group, and significantly shorter postoperative anal exhaust time as(10.2±1.4) d than(14.2±2.3) d in single treatment group. Their difference was statistically significant(P<0.05). Combined treatment group had significantly higher fallopian tube recanalization rate and natural pregnancy rate respectively as 90.0%(36/40) and 72.5%(29/40) than 72.5%(29/40) and 50.0%(20/40) in single treatment group, and their difference was statistically significant(P<0.05). But both groups had no statistically significant difference in ectopic pregnancy rate(P>0.05). Conclusion The application effect of tubal hyperbaric perfusion combined with laparoscopy in the diagnosis and treatment of female infertility is better than that of laparoscopy alone, and it is worthy of clinical promotion.
引文
[1]兰晶.宫腹腔镜联合诊治不孕症的临床分析.中国实用医药,2010, 5(23):143-144.
[2]周华.输卵管高压灌注联合腹腔镜技术诊治女性不孕症的应用价值探讨.临床合理用药, 2012, 5(7A):315.
[3]王丽娟.宫腹腔镜联合手术在诊治女性不孕症的临床价值.郑州大学, 2016.
[4]李江萍.输卵管造影联合腹腔镜诊治不孕症的临床分析.基层医学论坛, 2012(31):4145-4146.
[5]黄艳爱.宫腹腔镜联合治疗不孕症的手术配合及护理.现代医院, 2010, 10(s2):110-111.
[6]卢金玲,凌丹.腹腔镜技术在诊治女性不孕症中的应用.中国临床新医学, 2009, 2(7):759-761.
[7]沈雷,徐宏里.腹腔镜在诊治女性不孕症中的应用.实用妇产科杂志, 2002, 18(5):304-305.
[8]艾海权,李晓兰,龙梅,等.宫腹腔镜在女性不孕症诊治中应用.中华实用诊断与治疗杂志, 2013, 27(1):77-79.
[2]周华.输卵管高压灌注联合腹腔镜技术诊治女性不孕症的应用价值探讨.临床合理用药, 2012, 5(7A):315.
[3]王丽娟.宫腹腔镜联合手术在诊治女性不孕症的临床价值.郑州大学, 2016.
[4]李江萍.输卵管造影联合腹腔镜诊治不孕症的临床分析.基层医学论坛, 2012(31):4145-4146.
[5]黄艳爱.宫腹腔镜联合治疗不孕症的手术配合及护理.现代医院, 2010, 10(s2):110-111.
[6]卢金玲,凌丹.腹腔镜技术在诊治女性不孕症中的应用.中国临床新医学, 2009, 2(7):759-761.
[7]沈雷,徐宏里.腹腔镜在诊治女性不孕症中的应用.实用妇产科杂志, 2002, 18(5):304-305.
[8]艾海权,李晓兰,龙梅,等.宫腹腔镜在女性不孕症诊治中应用.中华实用诊断与治疗杂志, 2013, 27(1):77-79.