宫腔镜下输卵管插管通液治疗不孕的临床分析

Clinical Analysis of Hysteroscopy Tubal Intubation for Treatment of Infertility

目的分析治疗不孕应用宫腔镜下输卵管插管通液治疗的临床效果。方法方便选取该院于2016年8月—2017年9月期间进行治疗的不孕患者80例,以抽签法的形式将其分为研究组和对照组,分别为40例,其中研究组及对照组患者的年龄及不孕的年限无明显差异,且均无合并明显不孕症因素,如:严重子宫内膜异位症、排卵功能障碍等疾病。对照组行普通输卵管通液治疗,研究组行宫腔镜下输卵管插管通液治疗,对比2组患者手术前输卵管通畅性、手术后的输卵管通畅性,治疗效率、一年后妊娠的概率。结果①手术前2组患者的输卵管通畅性无差别,组间无统计学意义(χ2=1.920,P=0.158)。②手术后研究组的输卵管通畅率为95.00%高于对照组的75.00%,组间差异有统计学意义(χ2=6.275,P=0.012)。③研究组的总有效率为95.00%高于对照组的77.50%,组间差异有统计学意义(χ2=5.165,P=0.023)。④一年后,研究组的妊娠率为87.50%高于对照组的67.50%,组间差异有统计学意义(χ2=4.588,P=0.032)。结论对于不孕进行宫腔镜下输卵管插管通液治疗,可以提高患者的治疗效果以及输卵管的通畅性,预后效果较为理想,操作也简单,方便。

Objective To analyze the clinical effect of hysteroscopy tubal intubation and drainage in the treatment of infertility.Methods Eighty infertility patients who were treated in the hospital from August 2016 to September 2017 were conveniently selected and divided into a study group and a control group by a lottery method,which were 40 cases,of which the study group and the control group.There were no significant differences in the age and the number of years of infertility in the group,and there were no significant infertility factors,such as severe endometriosis and ovulation dysfunction.The control group was treated with ordinary tubal perfusion,and the study group underwent hysteroscopic tubal intubation.The two groups were compared for tubal patency before surgery,tubal patency after surgery,treatment efficiency,and probability of pregnancy after one year.Results①There was no statistically significant difference in tubal patency between the two groups before surgery,and there was no statistical significance between the groups(χ2=1.920,P=0.159).②The tubal patency rate in the study group after surgery was 95.00%higher than that in the control group at 75.00%,with differences between the groups(χ2=6.275,P=0.012).③The total effective rate of the study group was 95.00%higher than 77.50%of the control group,which was statistically significant between the groups(χ2=5.165,P=0.023).④After one year,the pregnancy rate of the study group was 87.50%higher than that of the control group 67.50%,and there were differences between the groups(χ2=4.588,P=0.032).Conclusion Hysteroscopic tubal intubation for infertility can improve the treatment effect and patency of the fallopian tube.The prognostic effect is ideal,and the operation is simple and convenient.