不孕不育患者行宫腔镜下输卵管通液治疗的效果分析

Analysis of the Effectiveness of Hysteroscopic Tubal Fluidization Treatment in Infertility Patients

目的评估不孕不育行宫腔镜输卵管通液治疗的效果。方法选取2020年11月—2021年11月巨野县妇幼保健计划生育服务中心妇产科收治的92例不孕不育患者,病因均被证实为输卵管堵塞。按随机抽签法分为两组,为常态组和腔镜组,每组46例,前者行普通输卵管通液治疗,后者行宫腔镜输卵管通液治疗。对比两组输卵管通畅率、围术期指标,观察妊娠情况以及不良反应。结果腔镜组输卵管通畅率(97.83%)比常态组(82.61%)高,差异有统计学意义(χ^(2)=4.434,P<0.05)。腔镜组手术用时及出血比常态组少,腔镜组下床、分泌物恢复以及住院时间比常态组短,差异有统计学意义(P<0.05)。腔镜组妊娠成功率(69.57%)比常态组(45.65%)高,且各患者的治疗至妊娠时间在腔镜组比常态组短,差异有统计学意义(P<0.05)。腔镜组不良反应总发生率(6.52%)比常态组(23.91%)低,差异有统计学意义(χ^(2)=5.392,P=0.020)。结论宫腔镜输卵管通液方案下能维持较好的疏通效果,能减少患者的不良反应,提高妊娠成功率。

Objective To evaluate the effect of infertility treated with hysteroscopic tubal fluidization.Methods 92 infertility patients were admitted to the Department of Obstetrics and Gynecology of Juye County Maternal and Child Health and Family Planning Service Center from November 2020 to November 2021,and the etiology was confirmed to be tubal occlusion.They were divided into two groups according to the randomized lottery method,as the normal group and the luminal group,with 46 cases in each group.The former was treated with normal tubal fluidization and the latter with hysteroscopic tubal fluidization.The tubal patency rate and perioperative indicators were compared between the two groups,and pregnancy as well as adverse reactions were observed.Results The tubal patency rate of the luminal group(97.83%)was higher than that of the normal group(82.61%),and the difference was statistically significant(χ^(2)=4.434,P<0.05).The surgery time and bleeding in the luminal group were less than those in the normal group,getting out of bed,recovery of secretions and hospitalization time in the luminal group were shorter than that in the normal group,and the difference was statistically significant(P<0.05).The pregnancy success rate of the luminal group(69.57%)was higher than that of the normal group(45.65%),and the treatment-to-pregnancy time of the luminal group was shorter than that of the normal group,and the difference was statistically significant(P<0.05).the total rate of adverse reactions in the luminal group(6.52%)were lower than in the normal group(23.91%),and the difference was statistically significant(χ^(2)=5.392,P=0.020).Conclusion Higher unblocking effect can be maintained under the hysteroscopic tubal fluidization protocol,which can reduce the adverse events in each patient and improve the pregnancy success rate.