宫腔镜输卵管插管通液术治疗输卵管性不孕症的临床效果  

Clinical effect of hysteroscopic tubal catheterization and fluid patency surgery in the treatment of tubal infertility

作　　者：翟焕玲 ZHAI Huan-ling(Jinxiang County People's Hospital,Jining 272200,China)

机构地区：[1]金乡县人民医院,272200

出　　处：《中国现代药物应用》2024年第6期15-19,共5页Chinese Journal of Modern Drug Application

摘　　要：目的评价宫腔镜输卵管插管通液术治疗输卵管性不孕症的临床效果。方法100例输卵管性不孕症患者,随机分成研究组与对照组,每组50例。研究组实施宫腔镜输卵管插管通液术治疗,对照组实施常规输卵管疏通液治疗。比较两组并发症发生率、阴道出血时间、术后试孕怀孕时间、不孕率、异位妊娠率及治疗前后的输卵管通畅率。结果治疗前,两组输卵管通畅率比较无差异(P>0.05);治疗后,研究组输卵管通畅率96.00%高于对照组的80.00%(P<0.05)。研究组并发症发生率2.00%低于对照组的14.00%,阴道出血时间(1.66±0.65)d短于对照组的(2.44±0.89)d(P<0.05)。研究组的术后试孕怀孕时间(2.33±1.11)个月短于对照组的(4.55±1.33)个月,不孕率2.00%、异位妊娠率2.00%低于对照组的20.00%、18.00%(P<0.05)。结论对输卵管性不孕症采用宫腔镜输卵管插管通液术治疗可显著改善输卵管通畅性,且并发症少,不孕及异位妊娠发生率低,值得进行推广。Objective To evaluate the clinical effect of hysteroscopic tubal catheterization and fluid patency surgery in the treatment of tubal infertility.Methods A total of 100 patients with tubal infertility were randomly divided into a study group and a control group,with 50 cases in each group.The study group received hysteroscopic tubal catheterization and fluid patency surgery,and the control group received conventional tubal patency therapy.The incidence of complications,duration of vaginal bleeding,postoperative trial pregnancy time,infertility rate,and ectopic pregnancy rate,patency rate of the fallopian tubes before and after treatment were compared between the two groups.Results Before treatment,there was no difference in patency rate of the fallopian tubes between the two groups(P>0.05).After treatment,the tubal patency rate of the study group was 96.00%,which was higher than 80.00%of the control group(P<0.05).The study group had lower complication rate of 2.00%than 14.00%of the control group,and shorter duration of vaginal bleeding of(1.66±0.65)d than(2.44±0.89)d in the control group(P<0.05).The postoperative trial pregnancy time of(2.33±1.11)months in the study group was shorter than(4.55±1.33)months in the control group;the infertility rate of 2.00%and ectopic pregnancy rate of 2.00%in the study group were lower than 20.00%and 18.00%in the control group(P<0.05).Conclusion In the treatment of tubal infertility,hysteroscopic tubal catheterization and fluid patency surgery can significantly improve tubal patency with fewer complications and low rate of infertility and ectopic pregnancy,and is worth promoting.

关 键 词：宫腔镜 输卵管插管通液术 输卵管性不孕症 

分 类 号：R711.6[医药卫生—妇产科学]