宫腹腔镜联合诊治年轻妇女原发不孕症临床分析.docVIP

宫腹腔镜联合诊治年轻妇女原发不孕症临床分析 　　[摘要] 目的 对年轻妇女原发不孕症采用宫腹腔镜联合诊治的临床效果进行分析。 方法 随机选取2013年1月―2015年1月在该院就诊的原发不孕症的年轻妇女80例作为研究对象，按照随机数字表法分为对照组和观察组，每组40例患者，对照组患者采用宫腔镜诊断，观察组患者采用宫腹腔镜联合诊断，对比两组的诊断效果。 结果 对两组患者观察指标情况进行比较，观察组患者手术所需时间、住院天数、术中出血量（42.9±7.15）min、（4.65±1.32）d、（32.65±5.20）mL均少于对照组（54.3±8.55）min、（5.70±0.75）d、（54.80±4.60）mL，两组比较差异有统计学意义（P0.05）。结论 对年轻妇女有原发不孕症患者采用宫腹腔镜联合进行诊治有较高的准确率，能够降低患者的术中出血量，减少手术所需的时间和住院天数，有较高的临床价值。 　　[关键词] 宫腹腔镜；年轻妇女；原发不孕症；临床分析 　　[中图分类号] R71 [文献标识码] A [文章编号] 1674-0742（2015）09（c）-0078-02 　　[Abstract] Objective To analyze the clinical effect of hysteroscopy combined with laparoscopy in diagnosing and treating young women with primary infertility. Methods 80 young women with primary infertility treated in this hospital from January 2013 and January 2015 were enrolled in this research and randomly divided into control group and observation group with 40 in each one. Patients in the control group underwent diagnosis by hysteroscopy， while those in the observation group were diagnosed by laparoscopy combined with hysteroscopy. The outcomes were compared between the two groups. Results The outcome measures were compared between the two groups， which indicated that the operation duration[（42.9±7.15）min vs （54.3±8.55）min]， length of hospital stay[（4.65±1.32）d vs（5.70±0.75）d] ， intraoperative blood loss[（32.65±5.20）ml vs （54.80±4.60）ml] were all less in the observation group than in the control group， and the differences were statistically significant （P0.05）. Conclusion Hysteroscopy combined with laparoscopy in diagnosing and treating young women with primary infertility shows high accurate and clinical value， which can lower intraoperative bleeding， reduce operation duration and hospital stay. 　　[Key words] Laparoscopy； Young women； Primary infertility； Clinical analysis 　　原发性不孕症困扰着广大女性，严重威胁女性患者的身心健康，给女性带来很大的心理压力，腹腔镜是治疗该病的主要临床治疗方法之一，虽然有一定的效果，但是也存在弊端。原发不孕症是一种特殊的疾病不但会造成个人的痛苦，还会造成夫妻之间感情的破裂、家庭不和等情况的发生[1]。导致不孕不育的因素有很多，如年龄、生活习惯等，在我国的传统观念中，有不孕不育是一件不光彩的事情，有不孕不育的夫妇在心理上承受着很大程度