宫腔镜及宫腹腔镜联合治疗输卵管近端梗阻性不孕163例临床分析

The value of hysteroscopy alone or combined with laparoscopy in the treatment of infertility caused by proximal tubal obstruction: analysis of 163 cases

目的比较宫腔镜及宫腹腔镜联合在治疗输卵管近端梗阻性不孕中的临床特点及效果。方法回顾性分析2000年1月-2013年12月输卵管近端梗阻性不孕患者共163例,80例接受宫腔镜治疗,83例接受宫腹腔镜联合治疗。比较两组输卵管再通率、临床妊娠率的差别。结果宫腹腔镜联合组输卵管再通率、妊娠率均高于宫腔镜组(P<0.05)。结论宫腹腔镜联合是治疗输卵管近端梗阻的实用、有效的方法。

Objective： To compare the clinical characteristics and outcomes between hysteroscopy and the combination with laparoscopy in dealing with proximal tubal obstruction. Methods： A retrospective study we made on 163 patients with infertility of proximal tubal obstruction from January 2000 to December 2013. Eighty patients received hysteroscopy,while83 received combined hysteroscopy and laparoscopy. Age,parity,the duration of infertility,diagnosis rate,recanalization rate and clinical pregnancy rate were compared. Results： Patients who received the combination of hysteroscopy and laparoscopy showed a higher rate of recanalization and clinical pregnancy（ P〈0. 05）. Conclusion： Combined laparoscopy and hysteroscopy is a valuable tool for the treatment of proximal tubal obstruction.