摘要
目的观察在腹腔镜治疗输卵管远端粘连阻塞性不孕术后放置生物膜（即可吸收医用膜）后输卵管再通畅情况。方法于腹腔镜下分离粘连，恢复解剖结构，并对患者进行伞端成形术、袖口状造口术治疗，术后放置生物膜者45例为观察组，术后未放置者44例为对照组，比较两组输卵管再通率。结果观察组和对照组术后2个月均行输卵管碘油造影，输卵管再通率比较差异有统计学意义（χ2=4.569，P〈0.05）。结论生物膜在腹腔镜手术治疗输卵管远端粘连阻塞性不孕中有效。
Objective To observe therapeutic effect of putting absorbable biological membrane after laparoscopic operation for tabal recanalization of women with infertility caused by distal tubal adhesive obstruction. Methods In the observation group, the adhesions in distal fallopian tube of 45 women with infertility were dissected with laparoscope for anatomic reconstruction, fimbrioplasty and salpingostomy were performed on under laparoscope, then biological membranes were put. In the control group, 44 women with infertility also were performed on adhesion dissection, fimbrioplasty and salpingostomy, but the biological membranes were not put in them. The fallopian tube recanalization rate were compared between the observation group and the control group. Results Two months later, by iodized oil salpingography, there were statistically significant differences in fallopian tube recanalizetion rate between the two groups （χ2=4.569, P〈0.05）. Conclusion The biological membrane put after laparoscopic operation is effective in treatment of female infertility caused by distal tubal adhesive obstruction.
出处
《中国妇幼健康研究》
2010年第2期239-241,共3页
Chinese Journal of Woman and Child Health Research
关键词
腹腔镜
生物膜
不孕症
输卵管再通
laparoscope
biological membrane
infertility
fallopian tube recanalization
