宫腔镜联合腹腔镜治疗输卵管性不孕的临床分析

Clinical analysis of hysteroscopy combined with laparoscopy in treatment of oviduct infertility

目的探讨宫腔镜联合腹腔镜治疗输卵管性不孕的效果。方法将我院妇产科2011年1月~2013年3月收治的120例输卵管性不孕患者随机分为对照组和观察组,对照组60例患者予宫腔镜下插管通液术进行治疗,观察组60例患者予宫腔镜联合腹腔镜治疗,对比两组患者的治疗效果与并发症发生率。结果两组患者在手术时间、术中出血量及住院时间方面差异无统计学意义（P〉0.05）。观察组的输卵管复通率为88.33%,妊娠率为53.33%,对照组的输卵管复通率为58.33%,妊娠率为26.27%,观察组的输卵管复通率及妊娠率明显高于对照组,差异具有统计学意义（P〈0.05）。观察组的并发症发生率为1.67%,对照组的并发症发生率为10.00%,观察组的并发症发生率明显低于对照组,差异具有统计学意义（P〈0.05）。结论对输卵管性不孕患者采用宫腔镜联合腹腔镜治疗能够有效提高输卵管复通率和妊娠率,降低并发症发生率,值得临床推广应用。

Objective To analyze and discuss the effects of hysteroscopy combined with laparoscopy in the treatment of oviduct infertility. Methods A total of 120 patients with oviduct infertility treated in the gynecology and obstetrics department of our hospital from January 2011 to March 2013 were randomly divided into the control group and the observation group, with 60 patients in each group. The control group was given intubation and hydrotubation treatment under hysteroscopy and the observation group was given hysteroscopy combined with laparoscopy treatment. The treatment effects and incidences of complications of the two groups were compared. Results The two groups were not significantly different in surgical time, intraoperative bleeding amount and length of hospital stay （P〉0.05）. The oviduct recanalization rate and pregnancy rate of the observation group were 88.33% and 53.33% respectively and those of the control group were 58.33% and 26.27% respectively. The oviduct recanalization rate and pregnancy rate of the observation group were significantly higher than those of the control group, with statistically significant differences （P〈0.05）. The incidence of complications of the observation group was 1.67% and that of the control group was 10.00%. The incidence of com- plications of the observation group was significantly lower than that of the control group, with statistically significant difference （P〈0.05）. Conclusion In the treatment of patients with oviduct infertility, hysteroscopy combined with laparoscopy can effectively improve the oviduct recanalization rate and pregnancy rate and reduce the incidence of complications, thereby worthy of clinical promotion and application.