宫腹腔镜联合治疗输卵管性不孕的临床效果分析

Analysis of the Clinical Efficacy of Hysteroscopy plus Laparoscopy in the Treatment of Tubal Infertility

目的：研究宫腔镜联合腹腔镜治疗输卵管性不孕的临床效果。方法：选择2014年8月-2015年6月我院收治的输卵管性不孕患者120例，根据患者的治疗术式将其平均分成两组，每组60例。其中，观察组以联合宫腹腔镜法诊治，而对照组仅给以腹腔镜进行诊治，随访和比较两组患者的治疗效果及术后妊娠状况。结果：观察组输卵管的再通率达97．39％，而对照组仅为78．57％，显著低于观察组（P〈0．05）。术后随访患者2年，均不曾接受其他辅助受孕技术，观察组在随访时间内妊娠率为58．33％，而对照组为38．33％，显著低于观察组（P〈0．05）。结论：相比单纯腹腔镜治疗，宫腹腔镜联合治疗输卵管性不孕的临床效果更好，值得在临床上推广。

Objective： To analyze the clinical effect of hysteroscopy combined with laparoscopy on tubal infertility. Methods： 120 cases of patients with tubal infertility treated in our hospital from august 2015 to June 2014 were divided into two groups on average. The observation group was treated by hysteroscopy combined with laparoscopy, while the control group was treated With laparoscopy alone. The clinical effect and postoperative pregnancy status were compared between two groups. Results： The rate of fallopian tube in observation group reached 97.39%, and was only 78.57% in control group. The effect of observation group was significantly lower than that of the control group （P〈0.05）. Patients with postoperative follow-up of 2 years, did not accept other assisted conception. After two years, the pregnancy rate was 58.33% in observation group and 38.33% in the control group, which was significantly higher in the observation group than that of the control group （P〈0.05）. Conclusions： Hysteroscopy combined with laparoscopy was superior to laparoscopy alone in the treatment of tubal infertility.