宫腔镜联合腹腔镜治疗输卵管性不孕的临床疗效评价

Clinical efficacy of hysteroscopy combined with laparoscopy in the treatment of tubal infertility

目的探讨宫腔镜联合腹腔镜治疗输卵管性不孕的临床疗效。方法选择本院收治的输卵管性不孕患者100例,随机分为观察组和对照组,每组50例。观察组采用宫腔镜联合腹腔镜进行治疗,对照组采用腹腔镜进行治疗,比较2组患者的临床疗效。结果 2组的手术时间、术中出血量、住院时间等指标比较差异无统计学意义(P>0.05);观察组术后输卵管再通率显著高于对照组,差异有统计学意义(P0.05);观察组术后妊娠率显著高于对照组,差异有统计学意义(P<0.05)。结论采用宫腔镜联合腹腔镜治疗输卵管性不孕具有十分显著的疗效,可明显提高治疗效果和患者的生活质量,值得临床推广和应用。

Objective： To evaluate the clinical efficacy of hysteroscopy combined with la- paroscopy in the treatment of tubal infertility. Methods A total of 100 patients with tubal infer- tility were divided into two groups, including observation group of 50 patients using hysteroscopy and laparoscopy treatment and control group of 50 patients with laparoscopic treatment. Re- sultsThe operation time, blood loss and length of stay were roughly the same between the two groups, and the differences were not statistically significant （P 〉 0.05）, while the fallopian tube recanalization rate of the observation group was significantly higher than that in the control group, and the difference was statistically significant （P 〈 0.05）. The postoperative pregnancy rate was significantly higher in the observation group than in the control group, and the difference was sta- tistically significant （P 〈 0.05）. Conclusion Hysteroscopy and laparoscopy is very effective in the treatment of tubal infertility, which can significantly improve the therapeutic effect. Thus it is worthy of wide clinical promotion.