米娜瓦尔·吾布力卡斯木 阿尔孜姑丽·艾尼瓦尔

【摘 要】目的：妇产科腹腔镜治疗输卵管梗阻性不孕症的临床效果。方法：在2020年9月至2021年9月中选取到院进行治疗的患者共40例，全部患者實施妇产科腹腔镜治疗：所有患者在经期结束后2天～3天实施腹腔镜治疗，所有患者行气管插管麻醉，取膀胱截石位，在脐部做10mm的切口，插入腹腔镜，再在两侧髂前的上嵴内3cm处做5mm的小切口，插入腹腔镜，对子宫和两侧附件实施检查，并在子宫和输卵管注入美蓝通液，对患者输卵管实施分析，计划具体的手术方案，在手术结束后观察输卵管是否通畅，并在术后置入地塞米松、糜蛋白酶、庆大霉素等药物预防粘连，并实施抗感染、抗炎的预防指标。观察治疗前后输卵管情况。结果：与治疗前相比，治疗后生活质量评分偏高，总通畅率偏高（P<0.05）。结论：对输卵管梗阻性不孕症患者实施妇产科腹腔镜治疗能够有效疏通输卵管，优化治疗效果。

【关键词】妇产科；腹腔镜；输卵管梗阻性；不孕症

Clinical effect of laparoscopy in treating infertility caused by tubal obstruction in obstetrics and Gynecology

Minawaer·Wubulikasimu， Aerziguli·Ainiwaer

The First People’s Hospital of Kashgar， Kashgar Xinjiang 844000， China

【Abstract】Objective： The clinical effect of laparoscopy in gynecology and obstetrics on infertility caused by tubal obstruction. Methods： From September 2020 to September 2021， 40 patients were selected for treatment in our hospital. All patients were treated with laparoscopy in gynecology and obstetrics. All patients were treated with laparoscopy 2days～3 days after the end of menstruation. All patients were anesthetized with tracheal intubation. The bladder lithotomy site was taken， and a 10mm incision was made in the navel， which was inserted into the laparoscope. Then， a 5mm small incision was made in 3cm of the anterior iliac crest on both sides， and the laparoscope was inserted. The uterus and bilateral appendages were examined， and melantone solution was injected into the uterus and fallopian tubes. The fallopian tubes of patients were analyzed， and the specific operation plan was planned. After the operation， whether the fallopian tubes were unobstructed was observed. After the operation， dexamethasone， chymotrypsin， gentamicin and other drugs were placed to prevent adhesion， and the anti-infection and anti-inflammatory prevention indexes were implemented. The condition of fallopian tubes were observed before and after treatment. Results： Compared with before treatment， after treatment， the quality of life score was higher and the total patency rate was higher（P<0.05）.Conclusion： Laparoscopic treatment of infertility caused by tubal obstruction can effectively dredge the fallopian tubes and optimize the treatment effect..

【Key？Words】Obstetrics and Gynecology； Laparoscopy； Tubal obstruction； Barrenness

在临床领域，妇女不孕的因素是多方面的，如卵子异常、输卵管梗阻、不正常排卵、内分泌失调等均是主要影响原因[1]。输卵管梗阻性在患者盆腔、阴道等组织有炎症后未及时治疗，而促使输卵管中出现肿胀、感染等病症直接对受孕产生影响，是临床常见不孕症之一，临床通常采用腹腔镜治疗[2]。基于此本次研究选取我院40例患者使用妇产科腹腔镜治疗，观察疗效[3]。

1.1 一般资料

在2020年9月至2021年9月选取到院进行治疗的患者共40例，年龄23岁～38岁，平均年龄（30.50±4.13）岁，病程1年～8年，平均病程（4.5±1.07）年，8例患者为继发性不孕，32例患者为原发性。……