宫腔镜与标准腹腔镜检查治疗不孕症的临床比较

Clinical Comparison of Hysteroscopy and Standard Laparoscopy in Infertility

目的:探讨宫腔镜与标准腹腔镜检查治疗不孕症的临床效果。方法:选取笔者所在医院妇产科2012年6月-2016年6月收治的42例输卵管阻塞而不孕症的患者。将其随机分为观察组和对照组,各21例,观察组采取宫腔镜检查,对照组采取标准腹腔镜检查。比较两组输卵管通畅及宫内妊娠情况。结果:观察组17例双侧输卵管完全通畅,3例单侧或双侧输卵管不畅,输卵管再通率80.95%(17/21),宫内妊娠率42.86%(9/21)。对照组14例双侧输卵管完全畅通,7例患者单侧或双侧输卵管不畅,输卵管再通率66.67%(14/21),宫内妊娠率23.81%(5/21),两组比较差异有统计学意义(P<0.05)。结论:以宫腔镜检查治疗不孕症,其临床诊断治疗效果显著,优于标准腹腔镜检查结果,值得推广。

Objective：To investigate the clinical effect of hysteroscopy and standard laparoscopy in the treatment of infertility.Method：From June 2012 to June 2016,Forty-two patients with tubal obstruction and infertility were enrolled in the Department of Obstetrics and Gynecology in our hospital.The patients were randomly divided into the observation group and the control group.The observation group received hysteroscopy and the control group received standard laparoscopy.Two groups of tubal patency and intrauterine pregnancy were compared.Result： In the observation group,17 cases of bilateral tubal were completely unobstructed,3 cases of unilateral or bilateral fallopian tube dysplasia,fallopian tube recanalization rate was 80.95%（17/21）,intrauterine pregnancy rate was 42.86%（9/21）.In the control group,14 cases of bilateral fallopian tube were completely unobstructed,7 patients had unilateral or bilateral fallopian tube dysplasia,fallopian tube recanalization rate was 66.67%（14/21）,intrauterine pregnancy rate was 23.81%（5/21）.The differences between the two groups were significant （P〈0.05）.Conclusion：Hysteroscopy to treat infertility,the clinical diagnosis and treatment is significant effect,better than the standard laparoscopy results,it is worth promoting.