Abstract：Objective To observe the clinical effect of laparoscopic pelvic adhesiolysis combined with salpingostomy in the treatment of infertility caused by pelvic inflammatory disease. Methods From August 2019 to November 2020, a total of 100 women of infertility caused by chronic pelvic inflammatory disease in childbearing age were selected. They were divided into observation group and control group according to the random number table, with 50 cases in each group. The control group was accepted with hysteroscopic hydrotubation therapy, and observation group was treated by laparoscopic pelvic adhesiolysis combined with salpingostomy on the basis of the control group. Serum follicle stimulating hormone (FSH), luteinizing hormone (LH), estradiol (E2) between two groups before and after treatment were compared; 1-year follow-up, the natural conception rate and ectopic pregnancy rate were compared between two groups. Results After treatment, FSH decreased and E2 increased in both groups compared with before treatment; FSH in observation group was lower than that in control group, E2 was higher than that in control group (P＜0.05). There were no significant differences in LH between two groups before and after treatment (P＞0.05). The natural conception rate of observation group was higher than that of control group (P＜0.05); there was no significant difference in the incidence of ectopic pregnancy between two groups (P＞0.05). Conclusion In the treatment of infertile patients caused by pelvic inflammatory disease, more ideal clinical effect can be obtained by laparoscopic pelvic adhesiolysis combined with salpingostomy on the basis of hydrotubation.
吴淋淋1 徐浩2▲ 李池慧3. 盆腔粘连松解术及输卵管伞端造口术治疗盆腔炎致不孕症的效果[J]. 中国医药导报, 2023, 20(2): 76-79.
WU Linlin1 XU Hao2▲ LI Chihui3. Effect of pelvic adhesiolysis combined with salpingostomy in the treatment of infertility caused by pelvic inflammation disease. 中国医药导报, 2023, 20(2): 76-79.
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