妇科内窥镜治疗输卵管阻塞性不孕临床价值的研究

Clinical Value of Gynecological Endoscope in the Treatment of Tubal Obstructive Infertility

目的:探讨对输卵管阻塞性不孕患者行妇科内窥镜治疗的临床效果。方法:将2015年2月~2017年2月某院收治的90例输卵管阻塞性不孕患者作为研究对象,根据治疗的方法不同分为研究组和参照组,各45例。参照组行常规治疗,研究组行内窥镜治疗,观察并比较两组治疗有效率、输卵管复通成功率以及1年后的妊娠率。结果:研究组治疗有效率42例(93.33%)显著高于参照组33例(73.33%);研究组输卵管复通成功率43例(95.56%)显著高于参照组35例(77.78%),研究组1年后的妊娠率31例(68.89%)显著高于参照组18例(40.00%),差异具有统计学意义。结论:对输卵管阻塞性不孕患者行妇科内窥镜治疗,能够提高患者的输卵管复通率以及1年后的妊娠率,治疗效果十分确切、有效。

Objective：To investigate the clinical effect of gynecological endoscopic therapy for tubal obstructive infertility.Methods：90 cases of tubal obstructive infertility treated in a hospital from February 2015 to February 2017 were divided into the study group and the reference group according to the different treatment methods,each with 45 cases.The reference group received routine treatment,and the study group received endoscopic treatment.The effective rate of treatment,the success rate of tubal recanalization and the rate of pregnancy after two years were observed and compared.Results：The effective rate of the treatment group of 42cases（93.33%）was significantly higher than that of control group in 33cases（73.33%）,the study group fallopian tube recanalization success rate of 43cases（95.56%）was significantly higher than that of the reference group of 35cases（77.78%）.The pregnancy rate of the control group ayear after in 31cases（68.89%）was significantly higher than that of the reference group in 18cases（40%）.The difference was statistically significant（P〈0.05）.Conclusion：The treatment of tubal obstructive infertility with gynecological endoscopy can improve the fallopian tube recanalization rate and the rate of pregnancy after one year,and the treatment effect is very accurate and effective.