宫腔镜下输卵管插管通液治疗不孕不育效果探讨.docx

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【摘要】目的：探讨宫腔镜下输卵管插管通液治疗不孕不育的效果。方法：将我门诊部2021年4月—2022年8月时期内收治的不孕不育患者纳入研究，随机择取140例为本次调研对象。以电脑随机法将患者分为甲组和乙组，甲组采用常规输卵管插管通液，乙组采用宫腔镜下输卵管插管通液，比较两组患者治疗效果。结果：乙组总有效率为95.71%，高于甲组的82.86%，数据对比有统计学意义（P0.05）；乙组不良反应率为2.86%，低于甲组的12.86%，数据对比有统计学意义（P0.05）；乙组术后2个月输卵管通畅率和术后12个月受孕率分别为95.71%和84.29%，高于甲组的75.71%和60.00%，数据对比有统计学意义（P0.05）；治疗后，乙组FSH、LH及E2等性激素水平高于甲组，数据对比有统计学意义（P0.05）。结论：针对不孕不育患者，宫腔镜下输卵管插管通液治疗方案可有效改善宫腔粘连、不畅等问题，提高患者受孕率，有推广价值。

【关键词】宫腔镜；输卵管；通液；不孕不育；受孕率

Effectofhysteroscopictubalcatheterizationandhydrotubationoninfertility

ZHANGShaomei

HexiClinic，EconomicDevelopmentZone，Huaihua，Hunan418000，China

【Abstract】Objective：Toexploretheeffectofhysteroscopictubalcatheterizationandhydrotubationinthetreatmentofinfertility.Methods：TheinfertilitypatientstreatedinouroutpatientdepartmentfromApril2021toAugust2022wereincludedinthestudy，and140caseswererandomlyselectedastheresearchobjects.PatientsweredividedintogroupAandgroupBbythecomputerrandomizedmethod.GroupAreceivedconventionaltubalcatheterizationandhydrotubation，andgroupBreceivedhysteroscopictubalcatheterizationandhydrotubation.Thetreatmenteffectsofthetwogroupswerecompared.Results：ThetotaleffectiverateofgroupBwas95.71%，whichwashigherthan82.86%ofgroupA，withstatisticalsignificance（P0.05）；TheadversereactionrateofgroupBwas2.86%，whichwaslowerthan12.86%ofgroupA，withstatisticalsignificance（P0.05）；Thefallopiantubepatencyrateat2monthsaftersurgeryandpregnancyrateat12monthsaftersurgeryingroupBwere95.71%and84.29%，respectively，whichwerehigherthan75.71%and60.00%ingroupA，andthedatawerestatisticallysignificant（P0.05）；Aftertreatment，thelevelsofsexhormonessuchasFSH，LH，andE2ingroupBwerehigherthanthoseingroupA，andthedatawerestatisticallysignificant（P0.05）.Conclusion：Forinfertilitypatients，hysteroscopictubal