宫、腹腔镜联合Cook导丝治疗输卵管阻塞性不孕的回顾性分析.docVIP

精品论文 参考文献 宫、腹腔镜联合Cook导丝治疗输卵管阻塞性不孕的回顾性分析 湖南省湘西土家族苗族自治州民族中医院妇科 416100 【摘 要】目的 探讨宫、腹腔镜联合Cook导丝治疗法在输卵管阻塞性不孕中的应用效果。方法 回顾性分析2014 年2 月至2015 年2 月我院收治的60 例输卵管阻塞性不孕患者的临床治疗资料，其中30 例患者采用X线联合Cook导丝进行治疗，作为对照组，30 例患者采用宫、腹腔镜联合Cook导丝进行治疗，作为观察组，比较两组患者一般手术情况、治疗效果。结果 观察组患者手术时间为66.71plusmn;28.19 min，对照组为85.49plusmn;25.52 min，Plt;0.05；观察组患者术中出血量为50.62plusmn;6.71 mL，对照组为62.83plusmn;7.11 mL，Plt;0.05；观察组患者治疗有效率为90.00 %，对照组为76.67 %，Plt;0.05。结论 宫、腹腔镜联合Cook导丝治疗法具有手术操作较为简便、术中出血量少，手术风险低，可有效疏通患者的输卵管，是治疗输卵管阻塞性不孕的理想治疗方式，值得推广应用。 【关键词】宫腔镜；腹腔镜；Cook导丝；输卵管阻塞性不孕 【Abstract 】 objective to explore the Cook godet hysteroscopy combined with laparoscopy for treatment in the application of fallopian tube obstructive infertility.Method between February 2014 were retrospectively analyzed in our hospital in February 2015 the 60 cases of fallopian tube obstructive infertility patients clinical data，in which 30 cases were treated by X-ray joint Cook godet treatment，as the control group，30 cases were treated by Cook godet hysteroscopy combined with laparoscopy for treatment，as the observation group，compared two groups of patients in general surgery，the efficacy of treatment.Results the observation group of patients with operation time was 66.71 + / - 28.19 min，was 85.49 + / - 25.52 min，the control group（P lt; 0.05；Observation group of patients intraoperatie blood loss was 50.62 + / - 6.71 mL，62.83 + / - 7.11 mL，the control group（P lt; 0.05；Observation group of patients treatment effective rate of 90.00%，76.67%，the control group（P lt; 0.05.Conclusion Cook godet hysteroscopy combined with laparoscopy therapy has a more simple operation，less intraoperative blood loss，surgical risk is low，can effective in patients with tubal clear and is an ideal treatment，treatment of fallopian tube obstructive infertility is worthy of popularization and application. 【Key words 】 hysteroscopy.Laparoscope；Cook thread；Fallopian tube obstructive infertility 随着我国计划生育政策的改革和二胎政策的全面放开，目前社会上又出现了生小孩的高潮，但是由于生态环境的恶化、低龄人流等因素，导致不孕不育的发病率逐年增