宫腔镜联合腹腔镜治疗不孕症

Hysteroscopy Combined with Laparoscopic Treatment of Infertility

目的:分析宫腔镜联合腹腔镜在不孕症临床治疗中的治疗方法及效果。方法:本研究选取了院内于2015年6月~2016年6月收治的80例不孕症患者作为研究对象,随机将其分为联合组与对照组,对照组给予腹腔镜手术治疗,联合组在对照组基础上联合宫腔镜治疗,对比两组患者的临床治疗效果、相关临床指标以及输卵管再通率和再次妊娠率。结果:联合组的临床治疗效果显著优于对照组(P<0.05);联合组的手术时间略高于对照组,但差异无统计学意义(P>0.05);联合组的术中出血量和住院时间均低于对照组(P<0.05);联合组的输卵管再通率和再次妊娠率均高于对照组(P<0.05)。结论:宫腔镜联合腹腔镜在不孕症患者的治疗中发挥出了较好的治疗效果,不仅可以减少术中出血量,还提高了患者术后的输卵管再通率和再次妊娠率,宜广泛应用于临床治疗中。

Objective： To analyze the treatment and effect of hysteroscopy combined with laparoscopy in the clinical treatment of infertility.Methods： 160 patients with infertility were enrolled in this study from June 2015 to June 2016.They were randomly divided into two groups： the combined group and the control group.The control group was given laparoscopic surgery,On the basis of the control group combined with hysteroscopy,compared the two groups of patients with clinical treatment,the relevant clinical indicators and fallopian tube recanalization rate and re-pregnancy rate.Results： The clinical treatment effect of the combined group was significantly better than that of the control group（ P 0.05）; The operation time of the combined group was slightly higher than that of the control group,but the difference was not statistically significant（ P 0.05）; The intraoperative blood loss and hospitalization time of the combined group were lower than those of the control group（ P 0.05）; The rate of reoperation and re-pregnancy were higher in the combined group than in the control group（ P 0.05）.Conclusion： Hysteroscopy combined with laparoscopy in the treatment of infertility patients play a better therapeutic effect,not only can reduce the amount of intraoperative blood loss,but also improve the patient＇s postoperative fallopian tube recanalization rate and re-pregnancy rate Widely used in clinical treatment.