宫、腹腔镜联合导丝介入治疗98例输卵管阻塞性不孕的研究

Study of 98 Cases with Oviduct Obstructive Infertility Treated by Interventional Therapy under Hysteroscope and Laparoscope Combining Guide Wire

目的探究宫、腹腔镜联合导丝介入治疗输卵管阻塞性不孕的临床疗效。方法选择2016年2月至2018年2月我院收治的98例输卵管阻塞性不孕患者,采用随机数字表法将其分为两组,其中观察组给予宫、腹腔镜联合导丝介入治疗,对照组给予X线下导丝介入治疗,再对两组手术情况与妊娠情况进行比较。结果两组在手术时间、术中出血量上对比无统计学差异(P>0.05);观察组疏通率为93.88%显著高于对照组,再次堵塞率为2.04%显著低于对照组(P<0.05),两组并发症发生率对比无统计学差异(P>0.05);观察组正常宫内妊娠率为67.35%显著高于对照组,且异位妊娠率为6.12%,未孕率为26.33%均显著低于对照组(P<0.05)。结论宫、腹腔镜联合导丝介入治疗输卵管阻塞性不孕,能够准确定位,显著提高疏通率与宫内妊娠率,安全性较高,效果显著,值得临床推广采用。

Objective To investigate the clinical efficacy of interventional treatment for oviduct obstructive infertility under hysteroscope and laparoscope combining guide wire. Methods 98 cases with oviduct obstructive infertility,admitted in our hospital from February 2016 to February 2018,were selected and divided into two groups according to the random number table method. The observation group received the interventional therapy under hysteroscope and laparoscope combining guide wire. The control group was given X-ray guided wire interventional treatment. Then the surgical conditions and pregnancy of the two groups were compared. Results There was no significant difference in operation time and intraoperative blood loss between the two groups（ P〈0. 05）. The dredging rate of the observation group was 93. 88%,significantly higher than that of the control group,and the re-blockage rate was 2. 04%,significantly lower than that of the control group（ P〈0. 05）. There was no significant difference in the incidence of complications between the two groups（ P〈0. 05）. The intrauterine pregnancy rate in the observation group was 67. 35%,significantly higher than that in the control group. The ectopic pregnancy rate was 6. 12%,and the unpregnancy rate was 26. 33%,which were both significantly lower than those of the control group（ P〈0. 05）. Conclusion The interventional treatment for oviduct obstructive infertility under hysteroscope and laparoscope combining guide wire can accurately locate the uterine cavity,and significantly improve the rate of dredging and intrauterine pregnancy,with high security and remarkable effect. Therefore,it is worthy of clinical promotion.