宫腹腔镜联合治疗输卵管性不孕症70例  

Hysteroscopy combined with laparoscopy treatment of tubal infertility of 70 cases

作　　者：陈金枝[1] 

机构地区：[1]武警广东省总队医院番禺分院,511430

出　　处：《辽宁医学杂志》2016年第2期34-35,37,共3页Medical Journal of Liaoning

摘　　要：目的探讨宫腹腔镜联合治疗输卵管性不孕症的临床疗效。方法选取我院2012年7月至2014年6月收治的140例输卵管性不孕症患者作为研究对象,将其随机分成两组,每组各70例。观察组患者给予宫腹腔镜联合治疗,对照组给予宫腔镜输卵管疏通术治疗,比较两组治疗效果。结果观察组输卵管再通率为90.00%,显著高于对照组的71.43%(P<0.01);观察组术后并发症发生率为10.00%,明显低于对照组的24.29%(P<0.05);经1年随访,观察组妊娠率为62.86%,明显高于对照组的45.71%(P<0.05)。结论宫腹腔镜联合治疗输卵管性不孕症疗效显著,可有效提高患者的妊娠率,且不会增加手术难度,可作为输卵管性不孕症的首选治疗方案。Objective To evaluate the clinical efficacy of hysteroscopy combined with laparoscopy treatment of tubal infertility. Methods 140 cases of tubal infertility patients admitted to our hospital in July 2012- June 2014 were selected as research subjects,were randomly divided into two groups,each 70 cases. The observation group were treated with hysteroscopy combined with laparoscopy,the control group were treated with hysteroscopic tubal dredge surgery,the treatment effect of two group was compared. Results The tubal recanalization rate of the observation group was 90. 00%,was significantly higher than 71. 43% of the control group（ P 〈0. 01）; The postoperative complication rate of the observation group was 10. 00%,were significant lower than 24. 29% of the control group（ P〈0. 05）; After 1 year follow-up,pregnancy rate of the observation group was 62. 86%,significantly higher than 45. 71% of the control group（ P〈0. 05）. Conclusion The effect of hysteroscopy combined with laparoscopy treatment of tubal infertility is significant,can effectively improve the patient＇s pregnancy,and will not increase the difficulty of operation,it can be used as the treatment of choice tubal infertility.

关 键 词：宫腔镜 腹腔镜 输卵管性不孕症 妊娠率 

分 类 号：R711.6[医药卫生—妇产科学]