宫腔镜腹腔镜联合治疗输卵管性不孕临床效果分析

Clinical effect of hysteroscopy combined with laparoscopy in the treatment of tubal infertility

目的观察宫腔镜腹腔镜联合治疗输卵管性不孕的临床效果。方法对医院收治的输卵管性不孕患者90例临床资料进行回顾性分析,根据治疗方法不同分为对照组和观察组,每组45例。对照组以宫腔镜辅助进行输卵管复通术,观察组采取宫腔镜腹腔镜联合进行输卵管复通术,比较2组输卵管复通率、宫内妊娠率,以及患者手术时间、术中出血量、住院时间。结果观察组输卵管复通率以及宫内妊娠率均高于对照组(P <0. 05);观察组住院时间、手术时间短于对照组,术中出血量少于对照组(P均<0. 01)。结论宫腔镜腹腔镜联合治疗输卵管性不孕效果理想,复通率较高,值得临床推广应用。

Objective To observe the clinical effect of hysteroscopy combined with laparoscopy in the treatment of tubal infertility. Methods The clinical data of 90 patients with tubal infertility were retrospectively analyzed. They were divided into observation group and control group according to different treatment methods,45 cases in each group. The control group was only treated by fallopian tube recanalization under hysteroscopy,while the observation group was treated by hysteroscopy combined with laparoscopic fallopian tube recanalization. The tubal recanalization rate,intrauterine pregnancy rate,operation time,intraoperative bleeding volume and hospitalization time were compared between the two groups. Results The tubal recanalization rate and intrauterine pregnancy rate in the observation group were higher than those in the control group ( P < 0. 05). The hospital stay and operation time of the observation group were shorter than those of the control group,and the amount of bleeding during operation was less than that of the control group ( P < 0. 01). Conclusion Hysteroscopy combined with laparoscopy in the treatment of tubal infertility has ideal effect and high recanalization rate,which is worthy of clinical application.