宫腔镜腹腔镜联合治疗异位妊娠后继发输卵管不孕效果观察

Efficacy of Hysteroscopy Combined with Laparoscopy in the Treatment of Tubal Infertility Secondary to Ectopic Pregnancy

目的观察宫腔镜及腹腔镜联合治疗的异位妊娠后继发输卵管不孕的效果。方法回顾性分析沈阳市浑南区医院2010—2017年收治的异位妊娠后继发输卵管不孕患者113例,采用宫腔镜及腹腔镜联合治疗,依据病变部位及输卵管分级对治疗后输卵管通畅情况进行评价。结果间质部及峡部病变治疗后通畅率均高于壶腹部,差异有统计学意义(χ^2=14.690、10.932,P<0.05)。Ⅰ级、Ⅱ级及Ⅲ级病变治疗后通畅率均高于Ⅳ级病变,差异有统计学意义(χ^2=11.944、17.958、13.118,P<o.05)。结论富腔镜联合腹腔镜能够对绝大部分异位妊娠后继发输卵管不孕起到良好的治疗效果,但是这也与输卵管分级有一定关系。

Objective To observe the effect of hysteroscopy and laparoscopy in the treatment of tubal infertility secondary to ectopic pregnancy.Methods A total of 113 women with tubal infertility secondary to ectopic pregnancy,which were treated using hysteroscopy and laparoscopy in our hospital from 2010 to 2017,were retrospectively analyzed.According to lesions and tubal grading,the tubal unobstructed status were evaluated after treatment.Results The patency rate of interstitial and isthmic lesions after treatment was significantly higher than that of ampulla lesions(χ^2=14.690,10.932,P<0.05).The patency rate of grade Ⅰ,Ⅱ and Ⅲ lesions was significantly higher than that of grade Ⅳ lesions(χ^2=l 1.944,17.958,13.118,P<0.05).Conclusion Hysteroscopy combined with laparoscopy can play a good therapeutic effect on most tubal infertility secondary to ectopic pregnancy,but it is also related to tubal grading.