宫腹腔镜联合手术治疗输卵管性不孕45例临床分析  

Clinical analysis of 45 cases of tubal infertility treated by hysteroscopy combined with laparoscopy

作　　者：武唤秀[1] WU Huan-xiu(Taiyuan Central Hospital,Taiyuan,Shanxi,030009,China)

机构地区：[1]太原市中心医院,山西太原030009

出　　处：《中国冶金工业医学杂志》2020年第3期257-258,共2页Chinese Medical Journal of Metallurgical industry

摘　　要：目的分析宫腹腔镜联合手术对输卵管性不孕患者的临床疗效。方法选取我院收治的输卵管性不孕采用宫腹腔镜联合手术治疗的45例患者的临床资料,分析输卵管病变的原因及手术疗效。结果本组患者中,原发不孕患者25例,继发不孕患者20例,两者的各类致病原因比较差异均无统计学意义(均P>0.05);输卵管堵塞数量为74条,通过手术成功疏通58条,疏通率为78.4%;术后成功妊娠25例,成功率为55.6%。结论采用宫腹腔镜联合手术治疗输卵管性不孕,可准确的判断不孕的原因,且输卵管疏通率高,可提高妊娠率。Objective To analyze the clinical effect of combined hysteroscopy and laparoscopy on the treatment of tubal infertility. Methods 45 selected patients with tubal infertility in our hospital were treated by hysteroscopy combined with laparoscopy, causes and surgical effects were analyzed.Results Among this group of patients, there were 25 patients with primary infertility and 20 patients with secondary infertility. There was no statistically significant difference in the various causes of the two groups(both P>0.05);in 74 tubal blockages, 58 pieces were successfully dredged through surgery,and the dredging rate was 78.4%;25 cases of successful pregnancy after surgery, the success rate was 55.6%. Conclusion Hysteroscopy combined with laparoscopy for tubal infertile can accurately judge the causes of infertility with a high fallopian tube dredging rate and improve the pregnancy rate.

关 键 词：宫腹腔镜 输卵管性不孕 不孕原因 

分 类 号：R711.6[医药卫生—妇产科学]