腹腔镜联合宫腔镜诊治输卵管性不孕的临床效果研究

Clinical efficacy of laparoscopy combined with hysteroscopy in treating tubal infertility

目的:探讨宫腔镜和腹腔镜联合治疗输卵管性不孕的临床效果,为临床治疗提供依据。方法:通过分析2014年3月到2015年2月医院收治的164例输卵管性不孕患者的临床资料,随机分为观察组和对照组各82例,观察组患者采用宫腔镜联合腹腔镜治疗,对照组患者单纯使用腹腔镜进行治疗,治疗结束两组患者随访1年对临床疗效和术后妊娠率进行统计比较,分析临床治疗效果。结果:观察组患者手术时间显著长于对照组,术中出血量显著低于对照组,比较差异有统计学意义(P>0.05);观察组患者治疗后输卵管疏通率显著高于对照组,同时患者术后1年内宫内妊娠率也显著高于对照组,比较差异有统计学意义(P>0.05)。结论:宫腔镜联合腹腔镜治疗输卵管性不孕较单镜治疗临床疗效显著,患者术后受孕效果也更佳,临床推广意义重大。

Objectives： To evaluate the efficacy of hysteroscopy and laparoscopy in treating tubal infertility,in order to provide basis for the clinical treatment. Methods： The clinical data of 164 patients with tubal infertility from March 2014 to February 2015 was analyzed. The patients were randomly divided into observation group and control group,82 cases in each. The observation group was treated with hysteroscopy combined with laparoscopy and the control group received only laparoscopic treatment. All the patients were followed up for one year to compare the clinical efficacy and pregnancy rate after treatment. Results： The operation time was significantly longer and the blood loss was significantly lower in the observation group than that in the control group,with statistically significant difference（P〈0. 05）. The clear rate of tube and intrauterine pregnancy rate in the one-year follow-up in the observation group was significantly higher in the observation group,with statistically significant difference（P〈0. 05）. Conclusion： Hysteroscopy combined with laparoscopy is significantly effective in treating tubal infertility with better pregnancy outcomes,thusly worthy clinical promotion.