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腹腔镜手术治疗盆腔黏连性不孕症的疗效分析

林芬 李莉

新医学Issue(8):523-525,3.
新医学Issue(8):523-525,3.DOI:10.3969/g.issn.0253-9802.2014.08.009

腹腔镜手术治疗盆腔黏连性不孕症的疗效分析

Analysis of clinical efficacy of laparoscopic surgery in treatment of pelvic adhesion-related infertility

林芬 1李莉1

作者信息

  • 1. 521011 潮州,广东潮州市潮州医院妇产科
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摘要

Abstract

Objective Toevaluatetheclinicalefficacyoflaparoscopicsurgeryinthetreatmentof pelvicadhesion-relatedinfertility.Methods Atotalof80caseswithpelvicadhesion-relatedinfertilityunder-going laparoscopic surgery in our hospital were retrospectively analyzed in this clinical trial. All participants were classified into mild,moderate,severe and extremely severe groups based upon the severity of pelvic adhe-sion. The rate of tubal patency and postoperative pregnancy rate were statistically assessed and compared among allgroups.Results Theratesoftubalpatencyweresignificantlyimprovedafterlaparoscopicsurgeryinall groups (all P<0.05 ). The intrauterine pregnancy rates in the mild,moderate,severe and extremely severe groups reached 64%,59%,33% and 20% after laparoscopic surgery,respectively. The pregnancy rates in the mild and moderate groups were significantly higher compared with those in the other two groups. Among 37 pregnant women,24 (30%)were pregnant within postoperative 6 months,1 2 (1 5%)at 7-1 2 postoperative monthsand1(1%)at1yearpostoperatively.Conclusion Laparoscopicsurgeryisasafeandefficacious therapy for infertility caused by mild and moderate degree of pelvic adhesion. Postoperative 1 year is the golden time for pregnancy.

关键词

腹腔镜/盆腔黏连/不孕症

Key words

Laparoscopy/Pelvicadhesion/Infertility

引用本文复制引用

林芬,李莉..腹腔镜手术治疗盆腔黏连性不孕症的疗效分析[J].新医学,2014,(8):523-525,3.

新医学

OACSTPCD

0253-9802

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