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目的探究输卵管梗阻不孕症行腹腔镜治疗的临床效果。方法选取2011年11月—2013年11月收治的80例输卵管梗阻不孕症患者作为研究对象,随机分为对照组和观察组各40例。对照组患者给予常规开腹手术治疗,观察组患者给予腹腔镜治疗。观察两组术后输卵管畅通情况、术中出血量、手术时间、排气时间、住院时间及2年内妊娠情况。计量资料采用t检验,计数资料采用χ2检验,P<0.05为差异有统计学意义。结果观察组治疗后输卵管畅通率为92.5%,明显高于对照组的65.0%,差异有统计学意义(P<0.05)。观察组术中出血量、手术时间、排气时间、住院时间分别为(22.03±3.41)ml、(50.92±5.30)min、(32.79±9.31)h、(5.11±1.23)d,对照组分别为(34.62±5.38)ml、(73.06±9.87)min、(43.07±9.96)h、(8.48±1.65)d,差异均有统计学意义(均P<0.05)。观察组患者2年内妊娠率为75%,明显高于对照组的45%,差异有统计学意义(P<0.05)。结论对输卵管梗阻不孕症患者实施腹腔镜下诊治,可取得满意的治疗效果,促进患者输卵管畅通,治疗安全、可靠,具有较高的临床利用、推广价值。
Objective To investigate the clinical effect of laparoscopic treatment of tubal obstruction infertility. Methods Eighty cases of infertility with fallopian tube obstruction admitted from November 2011 to November 2013 were selected as study subjects and randomly divided into control group and observation group of 40 cases. Patients in the control group were given routine laparoscopic surgery and patients in the observation group were treated with laparoscopy. The tubal unobstructed condition, intraoperative blood loss, operation time, exhaust time, hospital stay and pregnancy within 2 years were observed. Measurement data using t test, count data using χ2 test, P <0.05 for the difference was statistically significant. Results The tubal unobstructed rate in the observation group was 92.5%, which was significantly higher than that in the control group (65.0%), the difference was statistically significant (P <0.05). The blood loss, operation time, exhaust time and hospital stay in observation group were (22.03 ± 3.41) ml, (50.92 ± 5.30) min, (32.79 ± 9.31) h and (5.11 ± 1.23) d respectively (34.62 ± 5.38) ml, (73.06 ± 9.87) min, (43.07 ± 9.96) h and (8.48 ± 1.65) d, respectively. There were significant differences between the two groups (all P <0.05). In the observation group, the pregnancy rate was 75% within 2 years, which was significantly higher than that of the control group (45%) (P <0.05). Conclusion Laparoscopic diagnosis and treatment of tubal obstruction infertility patients can achieve satisfactory therapeutic effect, promote tubal unimpeded, safe and reliable treatment, with high clinical use and promotion value.