77例腹腔镜输卵管积水不同术式与妊娠结局*

Hydrosalpinx treated by different laparoscopic surgeries and their pregnant outcome (77 cases)*

摘要:

目的??研究腹腔镜输卵管造口术或输卵管切除术治疗输卵管积水术后的妊娠结局。方法?77例经该中心子宫输卵管造影或B超诊断为输卵管积水，除外其他不孕因素的不孕患者，经腹腔镜探查证实诊断后，行单侧、双侧输卵管造口术或单侧、双侧输卵管切除术，术后随访1～4年。结果?77例因输卵管积水导致不孕患者，经腹腔镜相应手术治疗后，39例妊娠，妊娠率50.65%。其中13例（16.88%）自然受孕，26例（33.77%）经体外受精-胚胎移植（IVF-ET）分娩，已分娩35例，妊娠状态3例，早期流产1例。结论?腹腔镜手术是输卵管积水导致不孕患者的有效治疗方法，术后IVF-ET较自然受孕妊娠率高，但差异无统计学意义。

Abstract:

Objective?To study the reproductive outcome of infertile women suffered from hydrosalpinx treated by laparoscopic salpingostomy or salpingectomy.?Methods?There were 77 infertile women diagnosed hydrosalpinx by HSG or B ultrasonography and excepted for other infertile factors. Unilateral or bilateral salpingostomy or salpingectomy was performed after hydrosalpinx confirmed by laparoscopy. Seventy seven patients were followed up for 1 ~ 4 years postoperatively.?Results?Among 77 cases 39 cases (50.65%) got pregnancy. Thirteen cases (16.88%) conceived spontaneously and 26 cases (33.77%) conceived by IVF-ETin. Thirty five cases delivered health babies and 3 cases of pregnancy, 1 cases of early abortion.?Conclusion?Both laparoscopic surgeries were effective treatment of hydrosalpinx results in infertility. After operation the pregnant rate of those conceived by IVF-ET is higher than spontaneously.