摘要
目的:比较开腹手术与腹腔镜手术治疗输卵管性不孕的疗效。方法:选择2006年5月—2011年4月收治的输卵管性不孕患者220例,年龄20～35岁。在患者知情同意下分成开腹手术组(n=100)和腹腔镜手术组(n=120),应用氯米芬(citrateclomiphene,CC)和(或)尿促性素(human menopausal gonadotropin,HMG)促进卵泡发育,比较1年内妊娠率和异位妊娠率。结果:开腹手术组的妊娠率(28%)与腹腔镜手术组的妊娠率(65%)比较,差异有统计学意义(P<0.01)。开腹手术组的异位妊娠率(5%),与腹腔镜手术组的异位妊娠率(3.3%)比较,差异无统计学意义(P>0.05)。结论:治疗输卵管性不孕,腹腔镜手术优于开腹手术。
Objective：To investigate the intrauterine pregnancy rate and ectopic pregnancy rate of the patients who nave unaer- gone transperitoneal or laparoscopic surgery for fallopian infertility in one year. Methods：After transperitoneal or laparoscopic surgery for fallopian infertility, the patients were adiminstrated citrate elomiphene（CC） and/or human menopausal gonadotro- pin （HMG） to stimulate ovulation. The intrauterine pregnancy rate and ectopic pregnancy rate in one year were analyzed. Re- sults： The pregnancy rate（28 %） in transperitoneal group were lower than that in laparoscopic group（65 %）, and there was sig- nificant difference between them（P〈0.01）. The ectopic pregnancy rate was 5 % in transperitoneal group and 3.3 % in laparo- scopic group, and there was no significant difference between them（P〉O. 05）. Conclusions： Laparoscopic surgery is better than transperitoneal surgery in fallopian infertility.
出处
《中国临床医学》
2012年第6期695-696,共2页
Chinese Journal of Clinical Medicine
关键词
输卵管性不孕
腹腔镜手术
开腹手术
妊娠率
异位妊娠率
Fallopian infertility
Laparoscopic surgery
Transperitoneal surgery
Intrauterine pregnancy rate
Ectop-ie pregnancy rate
