宫腔镜输卵管插管通液术治疗输卵管性不孕症疗效及对术后恢复、妊娠的影响  

Effect of hysteroscopic tubal catheterization hydrotubation for treating tubal infertility and its influence on the postoperative recovery and pregnancy

作　　者：高颖花 马丽丽[1] 周明慧 GAO Yinghua;MA Lili;ZHOU Minghui(Daxing District People's Hospital,Beijing,102601)

机构地区：[1]北京市大兴区人民医院,102601

出　　处：《中国计划生育学杂志》2022年第10期2218-2221,共4页Chinese Journal of Family Planning

基　　金：大兴区人民医院科研课题(4202106369)。

摘　　要：目的:探究宫腔镜输卵管插管通液术治疗输卵管性不孕症疗效及对术后恢复、妊娠的影响.方法:选取2019年1月-2019年11月本院收治的不孕症患者120例,按治疗方式的不同分为常规组和宫腔镜组各60例,分别采用常规输卵管通液术治疗或采用宫腔镜输卵管插管通液术治疗.比较治疗后两组患者双侧输卵管通畅率、临床疗效、术后恢复及受孕情况.结果治疗后,宫腔镜组双侧输卵管通畅率(35.0%)高于常规组(18.3%),总有效率(91.7%)高于常规组(76.7%),术后需卧床时间(5.2±0.8h)和住院时间(2.6±0.3d)低于常规组(8.9±1.0h、5.3±0.8d),手术并发症发生(6.7%)低于常规组(21.7%)(均P<0.05);术后随访1年累计妊娠率,宫腔镜组术后4个月(23.3%)、8个月(60.0%)、12个月(93.3%)均高于对照组(8.3%、30.0%、68.3%)(均P<0.05).结论:宫腔镜输卵管插管通液术可显著提高不孕症临床疗效,缩短术后恢复时间,降低手术并发症,提高术后1年妊娠率.Objective: To study the effect of hysteroscopic tubal catheterization hydrotubation for treating infertility patients, and to explore its influence on the postoperative recovery and the pregnancy status of these patients. Methods: A total of 120 infertile patients were selected and divided into two groups(60 cases in each group) according to different treatment methods from January 2019 to November 2019. The patients in the study group were treated with hysteroscopic tubal catheterization hydrotubation, and the patients in the control group were treated with conventional hydrotubation. The patency rate of bilateral fallopian tubes, the clinical efficacy, the postoperative recovery, and the pregnancy status of the patients after treatment were compared between the two groups. Results: The patency rate of bilateral tubal(35.0%) of the patients after treatment in the study group was significantly higher than that(18.3%) of the patients in the control group, and the total effective rate(91.7%) of the patients in the study group was significantly higher than that(76.7%) of the patients in the control group. The postoperative bed rest time(5.2±0.8 h) and the hospital stay(2.6±0.3 d) of the patients in the study group were significantly lower than those(8.9±1.0 h and 5.3±0.8 d) of the patients in the control group. The incidence of surgical complications(6.7%) of the patients in the study group was significantly lower than that(21.7%) of the patients in the control group(all P<0.05). The cumulative pregnancy rate of the patients in the study group in 4 months(23.3%), in 8 months(60.0%), and in 12 months(93.3%) were significantly higher than those(8.3%, 30.0%, and 68.3%) of the patients in the control group(all P<0.05). Conclusion: Hysteroscopic tubal catheterization hydrotubation for treating infertility patients can significantly improve their clinical efficacy, shorten their postoperative recovery time, decrease their operative complication, and increase their pregnancy rate in 1 year after operation.

关 键 词：输卵管性不孕症 宫腔镜输卵管插管通液术 输卵管通液术 临床疗效 术后恢复 术后妊娠 

分 类 号：R713.7[医药卫生—妇产科学]