宫腹腔镜下输卵管插管通液术对输卵管阻塞性不孕患者妊娠的影响

Effects of uterine laparoscopic tubal intubation on patients with tubal infertility

目的探讨宫腹腔镜下输卵管插管通液术治疗输卵管阻塞性不孕患者的临床效果。方法选择输卵管阻塞性不孕患者86例,随机分为两组,每组43例,对照组采用宫腔镜插管通液术治疗,观察组采用宫腹腔镜下输卵管插管通液术治疗,比较两组输卵管通畅情况、妊娠成功率及并发症发生情况。结果观察组输卵管通畅率、妊娠成功率均高于对照组,术后相关并发症发生率(2.33%)低于对照组(18.60%),受孕时间明显短于对照组,差异有统计学意义(P<0.05)。结论采用宫腹腔镜下输卵管插管通液术治疗输卵管阻塞性不孕患者,可有效促使其输卵管再通,利于提高妊娠成功率,帮助其尽快受孕,且术后并发症较少。

Objective To investigate the clinical effects of uterine laparoscopic oviduct intubation treatment on patients with oviduct obstructive infertility. Methods A total of 86 patients with ovi- duct obstructive infertility were selected and randomly divided into two groups, with 43 cases in each group. The patients in the control group were treated by hysteroscopic cannulation hydrotubation treat- ment, and the patients in the observation group were treated by uterine laparoscopic oviduct intubation treatment. The tubal patency, the rate of success and the incidence of pregnancy complications were com- pared between the two groups. Results The tubal patency rate and pregnancy success rate in the obser- vation group were higher than those in the control group, the incidence of postoperative complications was lower than that in the control group （2.33% vs. 18.60% ） , the time of conception was significantly shor- ter than that in the control group, the differences were significant （ P 〈 0. 05 ）. Conclusions In the treatment of patients with oviduct obstructive infertility, uterine laparoscopic oviduct intubation treatment can effectively promote the fallopian tube recanalization, improve the pregnancy success rate and has fe- wer postoperative complications.