宫腔镜联合腹腔镜治疗输卵管性不孕症的效果

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症的效果。方法 回顾性分析湖北省黄石市中心医院2012年3月至2014年3月收治的77例输卵管性不孕患者的临床资料,按照不同手术治疗方式将其分为观察组（47例）和对照组（30例）,对照组在宫腔镜引导下行输卵管疏通术,观察组在对照组基础上联合腹腔镜进行手术,比较两组的治疗效果。结果 观察组输卵管完全通畅率（89.4%）显著高于对照组（70.0%）（P〈0.05）。随访患者6-24个月,观察组妊娠成功率（83.0%）及宫内妊娠率（74.5%）显著高于对照组（60.0%、40.0%）（P〈0.05）。结论 宫腔镜联合腹腔镜治疗输卵管性不孕症效果良好。

Objective To explore the clinical efficacy of hysteroscopy combined with laparoscopy in the treatment of tubal infertility, to provide guidance for clinical treatment.Methods The clinical data of 77 patients with tubal infertility in Huangshi Central Hospital from March 2012 to March 2014 were retrospective analyzed, the patients were divided into two groups according to the surgical ways.The patients in control group （ n=30） underwent tubal dredging operation guided by hysteroscopy, while patients in observation group （ n=47 ） based on the treatment of control group combined with laparoscopy.Comparisons of clinical therapeutic effect in two groups after operation were conducted.Results The tubal patency rate in observation group（89.4 %） was better than that in control group（70.0%） （P〈0.05）.Patients were followed up for 6-24 months, the successful pregnancy rate （83.0%） and intrauterine pregnancy rate （74.5 %） in observation group was higher than that in control group （60.0 %, 40.0 %） （P〈0.05）. Conclusion Hysteroscopy combined with laparoscopy has a good effect on the treatment of tubal infertility.