宫腔镜下输卵管插管通液术治疗不孕症的临床效果研究  

Clinical Effect of Hysteroscopic Tubal Catheterization for Infertility

作　　者：苏根娣 Su Gendi(Department of Gynecology,Jianhu County People's Hospital,Yancheng 224700,Jiangsu Province,China)

机构地区：[1]建湖县人民医院妇科,江苏盐城224700

出　　处：《中外医药研究》2024年第8期19-22,共4页JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH

摘　　要：目的:探讨宫腔镜下输卵管插管通液术治疗不孕症的临床效果。方法:选取2022年1—12月建湖县人民医院妇科收治的74例输卵管性不孕症患者为研究对象,随机分为对照组和观察组,各37例。对照组使用常规输卵管通液术治疗,观察组使用宫腔镜下输卵管插管通液术治疗。对比两组患者临床疗效、各项治疗指标、并发症发生率、血液流变学指标。结果:观察组治疗总有效率高于对照组,差异有统计学意义(P<0.05)。观察组受孕时间短于对照组,输卵管通畅率、1年内妊娠率高于对照组,差异有统计学意义(P<0.05)。观察组并发症发生率低于对照组,差异有统计学意义(P<0.05)。观察组术后7 d血浆黏度、全血高切黏度、全血低切黏度、红细胞比容均低于对照组,差异有统计学意义(P<0.05)。结论:宫腔镜下输卵管插管通液术治疗不孕症的临床效果显著,能有效疏通输卵管,改善盆腔血液流变学,提高妊娠率。Objective:To investigate the clinical effect of hysteroscopic tubal catheterization in the treatment of infertility.Meth⁃ods:A total of seventy-four patients with tubal infertility admitted to the gynecology department of Jianhu County People's Hospi⁃tal from January 2022 to December 2022 were selected as the study objects,and randomly divided into control group and observa⁃tion group,thirty-seven cases in each group.The control group was treated with conventional tubal ligation,and the observation group was treated with hysteroscopic tubal ligation.The clinical efficacy,treatment indexes,complication rate and hemorheology indexes of the two groups were compared.Results:The total effective rate of observation group was significantly higher than that of control group,and the difference was statistically significant(P<0.05);the conception time of the observation group was shorter than that of the control group,and the tubal patency rate and pregnancy rate within 1 year were higher than those of the control group,the difference was statistically significant(P<0.05);the incidence of complications in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05);the plasma viscosity,whole blood high tangential vis⁃cosity,whole blood low tangential viscosity and erythrocyte specific volume in the observation group were lower than those in the control group 7 days after surgery,and the differences were statistically significant(P<0.05).Conclusion:The clinical effect of hys⁃teroscopic tubal catheterization on infertility is remarkable,which can effectively dreg tubal,improve pelvic hemorheology and in⁃crease pregnancy rate.

关 键 词：输卵管性不孕症 输卵管插管通液术 宫腔镜 妊娠 

分 类 号：R711.6[医药卫生—妇产科学]