腹腔镜联合宫腔镜治疗输卵管阻塞性不孕症临床研究.docVIP

腹腔镜联合宫腔镜治疗输卵管阻塞性不孕症临床研究 　　【摘要】 目的 研究分析采用腹腔镜联合宫腔镜治疗输卵管阻塞性不孕症的临床治疗效果。方法 86例输卵管阻塞性不孕症患者， 随机分为观察组和对照组， 每组43例， 对照组患者采取宫腔镜引导下输卵管疏通术， 观察组采用腹腔镜联合宫腔镜进行手术治疗。对比观察两组患者的输卵管复通率、术后并发症发生情况以及术后妊娠情况。结果 观察组在治疗后输卵管复通率显著高于对照组， 差异具有统计学意义（P0.05）。观察组患者的总妊娠率显著高于对照组， 差异具有统计学意义（P0.05）。结论 采用腹腔镜联合宫腔镜治疗输卵管阻塞性不孕症具有显著疗效， 能够有效提高输卵管复通率， 提高患者妊娠率， 值得在临床中推广运用。 　　【关键词】 腹腔镜；宫腔镜；输卵管阻塞；不孕症 　　DOI：10.14163/j.cnki.11-5547/r.2015.14.004 　　Clinical research of laparoscope and hysteroscope in the treatment of salpingemphraxis infertility HE Bing， CHENG Ru-wan. Guangdong Yangjiang City Hospital of Traditional Chinese Medicine， Yangjiang 529500， China 　　【Abstract】 Objective To research and analyze the clinical effect of laparoscope and hysteroscope in the treatment of salpingemphraxis infertility. Methods A total of 86 patients with salpingemphraxis infertility were randomly divided into observation group and control group， with 43 cases in each group. The control group received tube recanalization procedure under hysteroscope guide， and the observation group received laparoscope combined with hysteroscope for treatment. Comparison and observation were made on tube recanalization rate， postoperative complications and gestation of the two groups. Results The observation group had much higher tube recanalization rate than the control group， and the difference had statistical significance （P0.05）. The total gestation rate was obviously higher in the observation group than the control group， and the difference had statistical significance （P0.05）. Conclusion Implement of laparoscope combined with hysteroscope provides precise effect in treatment of salpingemphraxis infertility. This method can effectively improve tube recanalization rate and gestation rate， and it is worthy of clinical promotion and application. 　　【Key words】 Laparoscope； Hysteroscope； Salpingemphraxis； Infertility 　　不孕症是指有正常性生活， 未经避孕1年未妊娠者[1]。近年来随着人们性观念发生改变， 导致性开放、性传播疾病、宫内操作、宫内感染等增加， 不孕症的发生率呈现出逐年上升的趋势。不孕症患者发病原因多种多样， 输卵管阻塞是最为主要的病因[2， 3]。过往相关检查