宫腹腔镜联合治疗输卵管性不孕症的效果及对患者输卵管通畅、妊娠情况的影响  

Effect of hysteroscopy combined with laparoscopy in the treatment of tubal infertility and its influences on tubal patency and pregnancy

作　　者：沈素娟 李素红[2] 张翠枝 SHEN Sujuan;LI Suhong;ZHANG Cuizhi(Gynecology and Obstetrics Department,Yancheng Hospital of Traditional Chinese Medicine,Luohe 462000;Gynecology and Obstetrics Department,Luohe Central Hospital,Luohe 462000,China)

机构地区：[1]漯河市郾城区中医院妇产科,河南漯河462000 [2]漯河市中心医院妇产科,河南漯河462000

出　　处：《临床医学研究与实践》2022年第24期73-75,共3页Clinical Research and Practice

摘　　要：目的 探究宫腹腔镜联合治疗输卵管性不孕症的效果。方法 选取2016年1月至2021年1月本院收治的128例输卵管性不孕症患者为研究对象,遵循数字随机法将其分为参照组和研究组,每组64例。参照组开展宫腔镜手术治疗,研究组开展宫腹腔镜联合治疗。比较两组患者的治疗效果。结果 研究组术后3个月的输卵管总通畅率、术后6个月宫内妊娠率高于参照组,术后并发症总发生率低于参照组(P<0.05)。术后3个月,研究组的黄体生成素(LH)、雌激素(E_(2))、卵泡刺激素(FSH)水平高于参照组,子宫内膜厚度大于参照组(P<0.05)。结论 宫腹腔镜联合治疗输卵管性不孕症可提升输卵管通畅率,降低术后并发症发生率,并改善患者的性激素水平和卵巢功能指标。Objective To investigate the effect of hysteroscopy combined with laparoscopy in the treatment of tubal infertility.Methods A total of 128 patients with tubal infertility admitted in our hospital from January 2016 to January 2021were selected as the research objects and divided into reference group and study group according to the numerical random method,with 64 cases in each group.The reference group was treated with hysteroscopy,while the study group was treated with hysteroscopy combined with laparoscopy.The treatment effects of the two groups were compared.Results The total tubal patency rate at 3 months after operation and intrauterine pregnancy rate at 6 months after operation in the study group were higher than those in the reference group,and the total incidence of postoperative complications was lower than that in the reference group(P<0.05).At 3 months after operation,the levels of luteinizing hormone(LH),estradiol(E2) and follicle stimulating hormone(FSH) in the study group were higher than those in the reference group,and the endometrial thickness was greater than that of the reference group(P<0.05).Conclusion Laparoscopy combined with hysteroscopy in the treatment of tubal infertility can improve the tubal patency rate,reduce the incidence of postoperative complications,and improve the level of sex hormones and ovarian function indicators of patients.

关 键 词：宫腔镜 腹腔镜 输卵管性不孕症 

分 类 号：R711.6[医药卫生—妇产科学]