宫腹腔镜联合手术治疗在不孕症中应用与效果.doc

WORD文档下载可编辑 专业技术资料分享 宫腹腔镜联合手术治疗在不孕症中应用及效果 　　【摘要】 目的 分析在对不孕症患者治疗时使用宫腹腔镜联合手术治疗的临床疗效。方法 100例不孕症患者， 随机分为对照组和观察组， 各50例。对照组实施腹腔镜手术治疗， 观察组实施宫腹腔镜联合手术治疗。比较两组患者治疗效果。结果 观察组患者的宫内妊娠率为66%， 明显高于对照组的44%， 差异有统计学意义（χ2=4.8889， P0.05）。观察组患者的输卵管疏通率为68%， 明显高于对照组的46%， 差异有统计学意义（χ2=4.9368， P0.05）。观察组患者的异位妊娠率为2%， 明显低于对照组的14%， 差异有统计学意义（χ2=4.8913， P0.05）。结论 在对不孕症患者治疗时， 使用宫腹腔镜联合手术治疗的方法可取得更加安全有效的治疗效果。有较高应用价值。 　　【关键词】 宫腹腔镜联合手术；不孕症；应用效果 　　DOI：10.14163/j.cnki.11-5547/r.2017.12.026 　　【Abstract】 Objective To analyze the clinical curative effect of hysteroscopy-laparoscopy combined surgery in infertility. Methods A total of 100 infertility patients were randomly divided into control group and observation group， with 50 cases in each group. The control group received laparoscopic surgery for treatment， and the observation group received hysteroscopy and laparoscopy combined surgery for treatment. Treatment effect was compared in two groups. Results The observation group had obviously higher uterine pregnancy as 66% than 44% in the control group， and the difference had statistical significance （χ2=4.8889， P0.05）. The observation group had obviously higher fallopian tube dredging rate as 68% than 46% in the control group， and the difference had statistical significance （χ2=4.9368， P0.05）. The observation group had obviously lower ectopic pregnancy rate as 2% than 14% in the control group， and the difference had statistical significance （χ2=4.8913， P0.05）. Conclusion For the treatment of infertility patients， hysteroscopy and laparoscopy combined surgery can obtain more safe and effective treatment effect， and it has high application value. 　　【Key words】 Hysteroscopy and laparoscopy combined surgery； Infertility； Application effect 　　不孕?Y是目前临床上较为常见的疾病类型， 尤其是随着诸多因素的影响， 当前我国的不孕症患者数量呈现出不断上升的趋势， 已经对我国人民生活质量造成了比较大的危害[1]。当前在对不孕症患者实施临床治疗时， 手术是最为常见的治疗方案， 并且在实际的治疗中能够起到较好的效果[2]。而随着内窥镜技术的不断提升， 当前在对不孕症患者治疗时使用宫腹腔镜的方法开始得到了较多关注。本次研究中， 分析了对不孕症患者实施宫腹腔镜联合手术的治疗效果， 现报告如下。 　　1 资料与方法