腹腔镜联合宫腔镜治疗输卵管阻塞性不孕症的临床研究

Clinical research of laparoscope and hysteroscope in the treatment of salpingemphraxis infertility

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(P<0.05)。两组患者并发症发生率情况比较,差异无统计学意义(P>0.05)。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(P<0.05)。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。

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 （P〈0.05）. The difference of incidences of complications between the two groups had no statistical significance （P〉0.05）. The total gestation rate was obviously higher in the observation group than the control group, and the difference had statistical significance （P〈0.05）.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.