腹腔镜_____宫腔镜；腹腔镜；输卵管积水

宫腔镜、腹腔镜联合手术治疗输卵管积水286例分析

http://www.100md.com 《腹腔镜外科杂志》 2006年第2期

腹腔镜,,宫腔镜；腹腔镜；输卵管积水,1资料与方法,2结果,3讨论,参考文献：

     【摘要】目的：探讨宫腔镜、腹腔镜联合手术治疗输卵管积水的安全性和疗效。方法：在腹腔镜下行输卵管伞端造口术、成形术后，在宫腔镜下行输卵管插管通液术。结果：286例患者均顺利完成两镜联合手术，无不良并发症发生，手术成功率8252%，手术时间50～130min，平均90min，出血量20～120min，平均70ml。153例随访一年，随访率535%，术后妊娠73例，占随访病例的477%，其中宫内妊娠流产18例，输卵管妊娠6例；其余80例术后随访1年仍未孕经HSG检查发现输卵管积水6例，占75%。结论：宫腹腔镜联合手术治疗输卵管积水患者创伤小、效果好、康复快，可替代开腹手术。

    【关键词】宫腔镜；腹腔镜；输卵管积水

    Laparoscopy combined with hysteroscopy in the treatment of hydrosalpinx:with a report of 286 cases

    HU Hongwen,GAO Ran,ZHANG Yanping,et al.

    Kunming Maternal and Child Health Care Hospital,Kunming 650031,China

    【Abstract】 Objective:To evaluate the value and safety of laparoscopy combined with hysteroscopy in the treatment of hydrosalpinx.Methods:After performing neosalpingostomy by laparoscopy the hydrotubation was performed by hysteroscopy.Results:286 cases had been operated successfully,no complications occured,6 cases of salpingectomy had been performed,12 cases of abdominal tuberculosis were diagnosed.The successful rate of laparoscopic surgery was 82.52%,the mean operative time was 90 minutes,mean blood loss was 70ml.153 cases of neosalpingostomy were followed up,the follow up rate was 57.08%,and the mean follow up time was 12 months,73 patients were intrauterine pregnancy,18 cases were abortion,and 6 patiens were ectopic pregnancy.80 patients were not pregnant of which 6 cases were hydrosalpinx 1 year after operation.Conclusions:Laparoscopy combined with hysteroscopy can not only diagnose the cause of infertility but also cure some patients,It has advantages of simplicity,minimal invasion and rapid recovery. ......

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