宫、腹腔镜联合治疗不孕不育30例疗效观察

Combination of hysteroscopy and laparoscopy in the treatment of patients with infertility

目的:研究宫、腹腔镜联合治疗不孕不育的临床疗效和应用价值,为临床治疗提供依据。方法:将30例不孕不育患者随机分为观察组和对照组各15例,观察组采用宫、腹腔镜联合治疗,对照组采用传统开腹手术治疗,比较两组患者的术后恢复时间、2年内妊娠率以及临床总有效率。结果:比较发现,观察组的术后恢复时间明显短于对照组,差异具有统计学意义(P<0.05),观察组的临床总有效率以及2年内的妊娠率均显著高于对照组,两组比较差异具有统计学意义(P<0.05)。结论:采用宫、腹腔镜联合治疗不孕不育的临床疗效良好,恢复快,妊娠率高。

Objective：To investigate the clinical efficacy and application value of the combination of hysteroscopy and laparoscopy in the treatment of patients with infertility,for providing realistic basis for clinical treatment.Methods：30 cases of infertile patients were included in the study and randomized into the observation and control group with 15 cases in each group.The observation group were treated with the combination of hysteroscopy and laparoscopy,while the control group adopted the conventional laparotomy.The postoperative recovery time,pregnancy rate within 2 years and the total clinical efficacy of both groups were evaluated.Results：The results indicated that the postoperative recovery time of the observation group was significantly shorter than those of the control group,which was of statistical difference（P〈0.05）;the total clinical efficacy and pregnancy rate within 2 years were significantly higher than those of the control group,which was of statistical difference（P〈0.05）.Conclusion：The combined application of the hysteroscopy and laparoscopy to the treatment of patients with infertility will gain better clinical efficacy with rapider recovery and higher pregnancy rate.