宫腔镜联合腹腔镜治疗输卵管性不孕临床分析.docVIP

宫腔镜联合腹腔镜治疗输卵管性不孕临床分析 　　[摘要] 目的 探讨宫腔镜联合腹腔镜治疗输卵管性不孕的效果。 方法 将我院妇产科2011年1月～2013年3月收治的120例输卵管性不孕患者随机分为对照组和观察组，对照组60例患者予宫腔镜下插管通液术进行治疗，观察组60例患者予宫腔镜联合腹腔镜治疗，对比两组患者的治疗效果与并发症发生率。 结果 两组患者在手术时间、术中出血量及住院时间方面差异无统计学意义（P0.05）。观察组的输卵管复通率为88.33%，妊娠率为53.33%，对照组的输卵管复通率为58.33%，妊娠率为26.27%，观察组的输卵管复通率及妊娠率明显高于对照组，差异具有统计学意义（P0.05）。观察组的并发症发生率为1.67%，对照组的并发症发生率为10.00%，观察组的并发症发生率明显低于对照组，差异具有统计学意义（P0.05）。 结论 对输卵管性不孕患者采用宫腔镜联合腹腔镜治疗能够有效提高输卵管复通率和妊娠率，降低并发症发生率，值得临床推广应用。 　　[关键词] 宫腔镜；腹腔镜；输卵管性不孕 　　[中图分类号] R711.6 [文献标识码] B [文章编号] 1673-9701（2015）22-0051-03 　　Clinical analysis of hysteroscopy combined with laparoscopy in treatment of oviduct infertility 　　GUAN Jianhua SU Yi 　　Department of Gynecology and Obstetrics， Shanxian Dongda Hospital in Shandong Province， Shanxian 274300， China 　　[Abstract] Objective To analyze and discuss the effects of hysteroscopy combined with laparoscopy in the treatment of oviduct infertility. Methods A total of 120 patients with oviduct infertility treated in the gynecology and obstetrics department of our hospital from January 2011 to March 2013 were randomly divided into the control group and the observation group， with 60 patients in each group. The control group was given intubation and hydrotubation treatment under hysteroscopy and the observation group was given hysteroscopy combined with laparoscopy treatment. The treatment effects and incidences of complications of the two groups were compared. Results The two groups were not significantly different in surgical time， intraoperative bleeding amount and length of hospital stay （P0.05）. The oviduct recanalization rate and pregnancy rate of the observation group were 88.33% and 53.33% respectively and those of the control group were 58.33% and 26.27% respectively. The oviduct recanalization rate and pregnancy rate of the observation group were significantly higher than those of the control group， with statistically significant differences （P0.05）. The incidence of complications of the observation group was 1.67% and