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腹腔镜下输卵管积水造口术与妊娠结局

Clinical studies on salpingostomy undergoing laparoscopic treatment of hydrosalpinx and evaluate the outcomes of pregnancy.

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【作者】 何芳王玉洁石丽云

【Author】 HE Fang,WANG Yu-jie,SHI Li-yun.Gynecology & Obstetrics department of Beijing University Shenzhen Hospital,Shenzhen

【机构】 北京大学深圳医院妇产科

【摘要】 目的研究腹腔镜下对积水输卵管行输卵管造口术的妊娠结局,评价其疗效。方法选取我院经子宫输卵管造影或B超已诊断为输卵管积水的患者600例,均行腹腔镜检查,诊断明确后行输卵管造口术,术后予以抗炎及中药辅助治疗,并进行随访。结果600例患者中120例妊娠,自然受孕92例,占15.3%,辅助生育技术受孕28例,占4.7%,总妊娠率达20%。结论临床上对于输卵管积水应选择合适的处理方式,输卵管造口术后并抗炎与中药辅助治疗可获得较好妊娠结局。

【Abstract】 Objective To investigate the effects of salpingostomy undergoing laparoscopic treatment of hydrosalpinx on outcomes of pregnancy.Methods 600 cases of with hydrosalpinx had undergone lipiodol hysterosaIpingography(HSG) or B-mode ultrasonic diagnostic equipment to were selected receive laparoscopic management of salpingostomy and adjunctive therapy such as anti-inflammatory or traditional chinese drug.All the patients were followed up and the resucts after laparoscopic therapy were observed.Results Out of the 600 cases,92 patients were nature pregnancy,pregnancy rate was 15.3%;and 28 cases were IVF-ET pregnancy,pregnancy rate was 4.7%.The total pregnancy rate was 20%.Conclusion This study confirms that the laparoscopic therapy in salpingostomy with anti-inflammatory and traditional chinese drug is an effective approach to increase the pregnancy rate.

  • 【文献出处】 罕少疾病杂志 ,Journal of Rare and Uncommon Diseases , 编辑部邮箱 ,2009年01期
  • 【分类号】R713.52
  • 【被引频次】26
  • 【下载频次】204
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