宫腔镜腹腔镜引导下行COOK导丝治疗输卵管堵塞的效果研究
[摘要] 目的 探讨宫腔镜腹腔镜引导下行COOK导丝治疗输卵管堵塞的效果。方法 2014年2月”2017年2月,随机选取该院收治的输卵管堵塞患者84例作为研究对象,根据其入院序号奇偶数按比例(1:1)划分为对照组和观察组,每组患者42例,对照组给予宫腔镜腹腔镜联合治疗,观察组在宫腔镜腹腔镜引导下行COOK导丝治疗,观察对比两组患者治疗情况、输卵管再通情况和术后妊娠情况。结果 相较于对照组,观察组患者术中出血量较少,肛门首次排气时间较早,住院时间较短(P<0.05);治疗1年后,观察组患者输卵管通畅率高于对照组(81.82% vs 64.91%, χ2=4.079, P<0.05),观察组妊娠率高于对照组(83.33% vs 64.29%, χ2=3.941, P<0.05)。结论 针对输卵管堵塞患者,行宫腔镜腹腔镜引导下行COOK导丝治疗效果理想,值得广泛推广。
[关键词] 输卵管堵塞;宫腔镜;腹腔镜;COOK导丝
[中图分类号] R4 [文献标识码] A [文章编号] 1674-0742(2018)08(a)-0065-03
Hysteroscopic Laparoscopic Guided COOK Guide Wire for Treatment of Fallopian Tube Occlusion
LI Jing
Department of Gynecology, Wenshang County People"s Hospital, Wenshang, Shandong Province, 272500 China
[Abstract] Objective To investigate the effect of hysteroscopic laparoscopic guided COOK guide wire in the treatment of fallopian tube occlusion. Methods From February 2014 to February 2017, 84 cases of fallopian tube obstruction patients admitted in the hospital were randomly selected as the study subjects. Control group and observation group were divided into odds and even numbers according to their admission numbers (1:1). Among the 42 patients, the control group was treated with hysteroscopic laparoscopic surgery. The observation group was treated with COOK guidewire under hysteroscopic laparoscopic guidance. The treatment status, fallopian tube recanalization and postoperative pregnancy of the two groups were observed and compared. Results Compared with the control group, the patie...
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