宫腹腔镜联合手术在不孕不育症治疗中临床应用研究.docVIP

宫腹腔镜联合手术在不孕不育症治疗中临床应用研究 　　[摘要] 目的 探讨分析宫腔镜和腹腔镜联合手术的方法在治疗不孕不育症中的临床应用。方法 随机抽取该院2013年8月―2014年8月诊断并治疗的不孕不育患者共120例患者临床资料，进行回顾性分析总结，按照随机数字表法分为对照组和实验组各60例，对照组：采用常规手段治疗；实验组：使用宫腔镜和腹腔镜联合手术的方法治疗，然后对比和观察两组患者的疗效和输卵管通畅率等指标数据。结果 实验组患者正常受孕、自然流产率分别为76.67%、1.67%，优于对照组58.33%、8.33%；试验组91%的患者输卵管畅通，高于对照组82.7%；差异有统计学意义（P0.05）。结论 宫腔镜和腹腔镜联合手术的方法用于不孕不育患者的疗效可靠，具有较高的临床应用价值。 　　[关键词] 宫腹腔镜；联合手术；不孕不育 　　[中图分类号] R5 [文献标识码] A [文章编号] 1674-0742（2015）08（b）-0006-02 　　[Abstract] Objective To investigate and analyze the clinical application effect of hysteroscopic and laparoscopic surgery in the treatment of infertility. Methods A retrospective summary and analysis was conducted on the clinical data of 120 cases with infertility diagnosed and treated in our hospital from August 2013 to August 2014. The patients were divided into the control group and the experimental group with 60 cases in each in accordance with the random digital table method. The control group was treated by the conventional regimen， while the experimental group was treated by hysteroscopic and laparoscopic surgery. The efficacy， fallopian tube patency rate and other indicators of the two groups were observed and compared between the two groups. Results Compared with the control group， the experimental group had much higher normal pregnancy rate（76.67% vs 58.33%）， obviously lower spontaneous abortion rate（1.67% vs 8.33%）， significantly higher fallopian tube patency rate（91% vs 82.7%） with statistically significant difference， P0.05. Conclusion Hysteroscopic and laparoscopic surgery has reliable treatment effect on infertility with high clinical application value. 　　[Keywords] Hysteroscope and laparoscope； Joint surgery； Infertility 　　临床上用于不孕不育的治疗多是常规疗法，虽然使用的药物有疗效，但是治愈的效果不是太好。不孕症患者中大多是女性的不孕，该病病因很多，下丘脑病变、垂体病变、卵巢轴病变、子宫异常、输卵管异常、阴道异常、受精异常、着床不良等等。长期以来，不孕不育症困扰着诸多“一心求子而不得”的家庭，是造成家庭矛盾、甚至社会不安定因素的诱因之一，给患者造成了较大的身心困扰。因此，探究一种行而有道的可行疗法势在必行。有研究表明，宫腔镜和腹腔镜联合手术过程中，腹腔镜可以检测和观察宫腔镜的手术操作，防治血管和相邻器官的误伤，避免实验的盲目进行和危险操作，可明显提高患者输卵管再通率。为了研究宫腔镜和腹腔镜联合手术的方法在不孕不育症治