宫腹腔镜联合辅助生殖技术治疗不孕不育症的有效性分析

Analysis of the effectiveness of hysteroscopy combined with assisted reproductive technology in the treatment of infertility

目的分析宫腹腔镜联合辅助生殖技术治疗不孕不育症的有效性。方法选取本院60例不孕不育症患者为研究对象,按照随机数字表法分为两组,各30例。对照组应用宫腹腔镜手术治疗,观察组应用宫腹腔镜联合辅助生殖技术治疗。比较两组治疗前后激素水平,包括雌激素(E_(2))、卵泡刺激素(FSH)、黄体生成素(LH)等,记录两组临床指标,统计两组并发症及受孕率。结果治疗前,两组激素水平比较差异无统计学意义(P>0.05)。治疗后,观察组E_(2)、FSH、LH水平高于对照组(P<0.05)。观察组手术时间、首次下床时间短于对照组,术中出血量少于对照组(P<0.05)。观察组并发症发生率低于对照组(P<0.05)。观察组受孕率为96.67%,高于对照组的70.00%,差异有统计学意义(P<0.05)。结论宫腹腔镜联合辅助生殖技术治疗不孕不育症,可有效改善患者的激素水平,提高受孕率,并发症较少,安全可靠,值得推广。

Objective To analyze the effectiveness of hysteroscopy combined with assisted reproductive technology in the treatment of infertility.Methods Sixty patients with infertility in our hospital were selected as the research subjects and randomly divided into two groups using a random number table method,with 30 cases in each group.The control group received laparoscopic surgery,while the observation group received laparoscopic surgery combined with assisted reproductive technology.Compare the hormone levels before and after treatment between two groups,including estrogen(E_(2)),follicle stimulating hormone(FSH),luteinizing hormone(LH),etc.Record the clinical indicators of the two groups,and calculate the complications and pregnancy rates of the two groups.Results Before treatment,there was no statistically significant difference in hormone levels between the two groups(P>0.05).After treatment,the levels of E_(2),FSH,and LH in the observation group were higher than those in the control group(P<0.05).The observation group had shorter surgical time and first time out of bed compared to the control group,and less intraoperative bleeding than the control group(P<0.05).The incidence of complications in the observation group was lower than that in the control group(P<0.05).The pregnancy rate in the observation group was 96.67%higher than that in the control group,which was 70.00%,and the difference was statistically significant(P<0.05).Conclusion The combination of hysteroscopy and assisted reproductive technology in the treatment of infertility can effectively improve the patient's hormone levels,increase the fertility rate,have fewer complications,are safe and reliable,and are worthy of promotion.