宫腔镜与腹腔镜联合治疗输卵管性不孕的临床分析  

Analysis of hysteroscopy combined with laparoscopy on treatment of tubal infertility

作　　者：黄玉梅[1] 罗鸣[1] 李芬芳[1] 张红珍[1] 刘露娜 

机构地区：[1]广东省梅州市妇幼保健院妇产科,广东梅州514021

出　　处：《中国现代医生》2013年第23期44-46,共3页China Modern Doctor

摘　　要：目的研究宫腔镜与腹腔镜联合治疗输卵管不孕的疗效及临床价值。方法我院在2011年2月～2012年8月期间共收治90例输卵管性不孕患者,将其分成实验组和对照组,实验组(45例)给予宫腔镜与腹腔镜联合治疗,对照组(45例)在宫腔镜下进行插管通液术治疗,对比两组的治疗效果及并发症发生情况,总结实验组患者输卵管病变情况与妊娠的相关性等。结果实验组输卵管的复通率(87.1%)、妊娠率(51.1%),均明显高于对照组的复通率(59.3%)、妊娠率(24.4%),差异具有统计学意义(P<0.05)。实验组的并发症发生率为2.2%,显著低于对照组(6.6%),差异具有统计学意义(P<0.05)。患者输卵管的粘连程度越重,其术后的妊娠率就越低,组间相比,正常的宫内妊娠率差异具有统计学意义(P<0.05)。结论宫腔镜与腹腔镜联合疗法可有效地提高输卵管阻塞的复通率及妊娠率,尤其是轻、中度粘连患者,并可降低并发症的发生率,应在临床中推广应用。Objective To analyze the treatment of hysteroscopic and laparoscopic tubal infertility efficacy and clinical value. Methods A total of 90 cases of tubal infertility patients were treated in our hospital from February 2011 to Au- gust 2012, they were randomly divided into experimental group and control group, the experimental group （45 cases） were given hysteroscopy combined laparoscopy treatment, while the control group （45 cases） were treated with hystero- scopic cannulation through the liquid under treatment, the therapeutic effect and complications of the two groups were compared and experimental lesions in patients with tubal pregnancy correlations was analyzed. Results The experi- mental group fallopian tube recanalization rate （87.1%）, pregnancy rate （59.3%） were significantly higher than the re- canalization rate （57.8%）, pregnancy rate （24.4%）, significant difference was statistically significant （P 〈 0.05）. Experi- mental group complication rate was 2.2%, significantly lower than the control group （6.6）, significant difference was statistically significant （P 〈 0.05）. The heavier patients with tubal adhesions degree, the lower the postoperative preg- nancy rate, group compared, normal intrauterine pregnancy rate was significantly different （P 〈 0.05）. Conclusion Hysteroscopy and laparoscopy therapy can effectively improve the tubal occlusion recanalization rate and pregnancy rate, especially in mild to moderate adhesions patient, and can reduce the incidence of complications, should be widely applied in clinical practice.

关 键 词：输卵管性不孕 宫腔镜与腹腔镜联合 术后分析 

分 类 号：R711.6[医药卫生—妇产科学]