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目的探讨女性不孕症伴盆腔粘连患者腹腔镜诊治疗效,为提高患者临床诊断正确率和治疗效果提供依据。方法选取江西省上饶市妇幼保健院女性不孕症伴盆腔粘连患者42例,均分为对照组和研究组(n=21)。对照组女性不孕症合并盆腔粘连患者采用保守药物治疗;研究组女性不孕症合并盆腔粘连患者给予腹腔镜手术治疗,比较2组疗效。结果研究组患者2年内妊娠总成功率为85.71%,显著高于对照组患者(2年内妊娠总成功率为47.62%),2组比较差异有统计学意义(P<0.05)。结论腹腔镜治疗女性不孕症合并盆腔粘连能够显著提高患者妊娠成功率,且对患者造成的创伤和痛苦较小,治疗精确度较高,利于患者术后尽快恢复健康,值得临床推广应用。
Objective To investigate the efficacy of laparoscopic diagnosis and treatment of female infertility with pelvic adhesions and to provide basis for improving the accuracy of clinical diagnosis and treatment effect. Methods Forty-two female infertility patients with pelvic adhesions were selected from Shangrao City Maternity and Child Care Hospital of Jiangxi Province. All patients were divided into control group and study group (n = 21). The control group of women with infertility pelvic adhesions were treated with conservative drugs; female infertility patients with pelvic adhesions in the study group were given laparoscopic surgery, the efficacy of the two groups were compared. Results The total success rate of pregnancy in 2-year study group was 85.71%, which was significantly higher than that in control group (47.62% in 2 years). The difference between the two groups was statistically significant (P <0.05). Conclusion Laparoscopic treatment of female infertility combined with pelvic adhesions can significantly improve the success rate of pregnancy in patients with less trauma and pain caused by the high accuracy of the treatment will help patients recover as soon as possible after the health and worthy of clinical application.