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目的:探析妇产科输卵管性不孕症患者的临床情况,包括病因、诊断与治疗等,以便为临床提供参考。方法:本次研究61例对象,皆为我院2011年3月至2013年6月接待的输卵管性不孕症患者,回顾性分析她们的临床资料,对发病原因、诊断与治疗情况进行分析。结果:61例输卵管性不孕症患者病因主要有盆腔粘连、子宫内膜异位症、输卵管伞端粘连包裹、输卵管积水及子宫肌瘤等;全部经常规、临床病理检查确诊,经泛影葡胺造影术及术后检查显示有58例输卵管阻塞复通,复通率高达95.08%;本组研究患者术后皆进行6个月~2年不等随访,其中61例患者中成功受孕34例,受孕患者34例中有20例已经成功分娩健康新生儿,剩余14例患者仍在追踪随访中。结论:输卵管性不孕症患者的病因十分复杂,没有特异症状,在诊断的时候要对患者病史进行询问,严格检查身体,同时要结合临床症状、泛影葡胺造影术及B超情况等进行综合分析,治疗的时候要严格掌握适应证,采用泛影葡胺造影术治疗本病属于当前比较安全且有效的方式,值得借鉴。
Objective: To investigate the clinical situation of tubal infertility in obstetrics and gynecology, including etiology, diagnosis and treatment, in order to provide a reference for the clinical. Methods: The study of 61 patients, all of our hospital from March 2011 to June 2013 received tubal infertility patients, a retrospective analysis of their clinical data, the incidence of causes, diagnosis and treatment were analyzed. Results: The main causes of tubal infertility in 61 cases were pelvic adhesions, endometriosis, tubal adhesions, tubal hydrops and uterine fibroids. All of them were diagnosed by routine and clinicopathological examination, Hypermetazidine and postoperative examination showed that 58 cases of tubal obstruction recanalization, 95.08% pass rate; this study patients were followed up for 6 months to 2 years, of which 61 cases of successful conception 34 For example, 20 of 34 pregnant women have successfully delivered healthy newborns, and the remaining 14 are still under follow-up. Conclusions: The etiology of tubal infertility patients is very complicated and has no specific symptoms. During the diagnosis, the patient’s medical history should be interrogated and the body checked strictly. At the same time, clinical symptoms, meglumgeography and B- Comprehensive analysis, treatment should be strictly controlled indications, the use of meglumine diaphytic angiography is the current treatment of the disease more secure and effective way, it is worth learning.