宫腔镜下输卵管插管通液治疗不孕不育的临床疗效.docVIP

宫腔镜下输卵管插管通液治疗不孕不育的临床疗效 　　【摘要】目的：对宫腔镜下输卵管通液法在不孕症治疗中的应用效果进行分析总结。方法：以80例不孕症患者作为观察对象，并以随机数字表法将患者随机分为两组，每组40例。以接受常规输卵管通液治疗者为对照组，以接受宫腔镜下输卵管通液法治疗者为观察组。对两组手术相关情况及临床治疗效果进行对比分析。结果：两组间术中出血量、手术时间及术后下床活动时间比较，无统计学差异（P0.05）。在接受治疗后，对照组的治疗总有效率为60.00%，而观察组的治疗总有效率为87.50%，观察组的治疗总有效率明显高于对照组（P0.05）。此外，观察组术后1年妊娠成功率也显著高于对照组（P0.05）。而对照组术后妊娠平均时间为（5.13±1.06）月，观察组术后妊娠平均时间为（4.11±1.03）月，观察组明显短于对照组（P0.05）。结论：不孕症治疗中宫腔镜下输卵管通液法可显著的提高患者的临床治疗效果。 　　【关键词】宫腔镜；输卵管插管通液；不孕症；临床治疗 　　【Abstract】Objectives： To summarize and analyze the application of microscopic tubal cauterization in treating infertility. Methods： 80 infertile patients were selected and randomly divided into two groups， each of 40 cases. Those received the conventional tubal treatment were selected as control group， while those received microscopic tubal cauterization as observation group. The relevant circumstances and clinical outcomes of the two groups were compared and analyzed. Results： Difference in the blood loss， operative time and postoperative ambulation time between the two groups was of no significance （P 0.05）. After receiving treatment， the total effective rate in the control group was 60.00%， while that in the observation group was 87.50%， with significant difference （P0.05）. In addition， in the observation group the success pregnancy rate 1 year after treatment was significantly higher （P0.05）. While the average time of pregnancy in control group was （5.13 ± 1.06） months and that in the observation group was （4.11 ± 1.03） months， with significant difference （P0.05）. Conclusion： Microscopic tubal cauterization can significantly improve the clinical treatment efficiency of infertile patients. 　　【Key words】Spectroscopy； Microscopic tubal cauterization； Infertility； Clinical treatment 　　【中图分类号】R711.6【文献标志码】A 　　不孕症为目前临床较为常见的女性疾病之一，且近年来本病的发生率呈显著升高趋势，对患者的生活质量及家庭幸福均可造成严重的影响[1-3]。目前临床观察显示，可导致女性不孕症发生的原因较多，而输卵管阻塞属常见病因之一[4-6]。虽然输卵管通液治疗可在一定程度上改善女性不孕症的临床治疗效果，但因传统的输卵管通液治疗无法确定治疗后的输卵管通畅情况，故其治疗在总有效率也相对较低[7-11]。为可进一步提高女性不孕症的临床治疗效果，我院近年来在临床工