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| Effect of pelvic adhesiolysis combined with salpingostomy in the treatment of infertility caused by pelvic inflammation disease |
| WU Linlin1 XU Hao2▲ LI Chihui3 |
1.Department of Gynecology, Jinhua People’s Hospital, Zhejiang Province, Jinhua 321000, China;
2. Department of Clinical Laboratory, Jinhua Central Hospital, Zhejiang Province, Jinhua 321000, China;
3.Department of Clinical Laboratory, Jinhua People’s Hospital, Zhejiang Province, Jinhua 321000, China
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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.
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[1] 姜淼，丛丰辉，谷凤霞.内异症、慢性盆腔炎与正常盆腔的不孕患者腹腔镜手术治疗效果研究[J].当代医学，2016（4）：40-41.
[2] 李松泽.腹腔镜下盆腔粘连松解术治疗慢性盆腔炎性不孕症的效果[J].实用妇科内分泌电子杂志，2021，8（12）：8-10.
[3] 陈丽红.腹腔镜手术与保守治疗盆腔炎所致不孕症效果比较[J].临床合理用药杂志，2020，13（19）：137-139.
[4] 华克勤.实用妇产科学[M].3版.北京：人民卫生出版社，2013.
[5] 张桂元，蔡名金，魏慧慧，等.子宫输卵管造影不同征象在盆腔粘连性不孕诊断中的价值[J].中国微创外科杂志，2018，18（8）：711-714.
[6] 廖越，杜晓果，刘丹，等.TROPHY硬型宫腔镜在不孕症患者门诊检查治疗中的应用研究[J].实用妇产科杂志，2017，33（5）：385-387.
[7] 张永存，钱雅丽，任伟，等.宫腔镜联合腹腔镜手术治疗盆腔炎性不孕患者的疗效观察[J].医学临床研究，2019， 36（6）：1211-1213.
[8] 李春容.腹腔镜下盆腔粘连松解术联合输卵管伞端造口术治疗盆腔炎性不孕的疗效观察[J].中国妇幼保健，2018， 33（5）：1117-1119.
[9] Gremeau AS，Girard A，Lambert C，et al. Benefits of second-look laparoscopy in the management of pelvic inflammatory disease [J]. J Gynecol Obstet Hum Reprod，2019，48（6）：413-417.
[10] 王莉华.腹腔镜盆腔粘连松解术联合输卵管伞端造口术治疗盆腔炎致不孕不育[J].中国处方药，2016，14（12）：117-118.
[11] 马玉秀，马英兰，马永萍，等.宫腹腔镜LTUO及LEEA对慢性盆腔炎输卵管性不孕患者输卵管功能的影响[J].中国性科学，2019，28（10）：56-59.
[12] 刘益波，冯云，赵志伟.中药复方银翘红藤解毒汤联合腹腔镜治疗盆腔炎性不孕46例[J].环球中医药，2016， 9（3）：314-315.
[13] 邓美强.腹腔镜下盆腔粘连松解术结合输卵管伞端造口术对盆腔炎性不孕患者妊娠率以及雌激素水平的影响[J].中国处方药，2020，18（3）：141-142.
[14] 陈芳，关海霞.银甲丸加减治疗腹腔镜术后湿热瘀结盆腔炎性不孕[J].中国实验方剂学杂志，2016，22（16）：195- 198.
[15] 李春容.腹腔镜下盆腔粘连松解术联合输卵管伞端造口术治疗盆腔炎性不孕的疗效观察[J].中国妇幼保健，2018，33（5）：1117-1119.
[16] 方红梅.红藤败酱汤联合腹腔镜手术治疗慢性盆腔炎性不孕的效果及对患者妊娠率影响分析[J].中国保健营养，2019，29（5）：315-316.
[17] Yu X，Cai H，Guan J，et al. Laparoscopic surgery：Any role in patients with unexplained infertility and failed in vitro fertilization cycles? [J]. Medicine （Baltimore），2019，98（13）：e14957.
[18] 袁华兰.宫腔镜联合腹腔镜手术对盆腔炎性不孕患者血清炎性因子及临床体征的影响[J].现代诊断与治疗，2021，32（11）：1681-1683.
[19] 李松泽.腹腔镜下盆腔粘连松解术治疗慢性盆腔炎性不孕症的效果[J].实用妇科内分泌电子杂志，2021，8（12）：8-10.
[20] 何家纯.不同术式对盆腔炎性不孕症患者激素水平及妊娠率的影响对比[J].现代诊断与治疗，2020，31（23）：3791-3792.
[21] 鲍苏青，蒋郡瑛，楼青娟.盆腔炎对女性性激素的影响及其与不孕症的关系[J].中国性科学，2015，24（4）：5-7.
[22] 杨健.腹腔镜治疗盆腔炎所致不孕的临床效果分析[J].基层医学论坛，2019，23（11）：1603-1604.
[23] 许松梅.不同方法治疗盆腔炎所致不孕症的疗效差异对比[J].现代诊断与治疗，2018，29（14）：2290-2291.
[24] 耿晓丽.盆腔炎疾病所致不孕的腹腔镜治疗及效果分析[J].医药论坛杂志，2018，39（8）：129-131.
[25] 张艳平.腹腔镜下盆腔粘连松解术联合输卵管伞端造口术治疗慢性盆腔炎性不孕疗效观察[J].实用中西医结合临床，2020，20（2）：34-35.
[26] 朱益静.慢性盆腔炎对女性性激素的影响与不孕症的相关性分析[J].实用妇科内分泌电子杂志，2020，7（14）：29-30. |
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