论文部分内容阅读
目的:探讨宫、腹腔镜联合诊治输卵管性不孕症的临床应用价值。方法:回顾分析2010年5月至2012年4月在我院住院行宫、腹腔镜联合诊治术的177例输卵管性不孕症患者的临床资料,并随访其术后妊娠情况。结果:患者术后的自然妊娠率为40.11%(71/177),其中70.42%发生于术后6个月内(50/71);异位妊娠率为3.39%(6/177)。患者的术后自然妊娠率与不孕时间呈显著负相关(β=-0.178,P<0.05),而与年龄和不孕症类型无关。结论:宫、腹腔镜联合诊治术对输卵管性不孕症的诊断和治疗均具有临床应用价值,对术后1年未自然妊娠者应积极行辅助生殖技术治疗。不孕时间越长,术后自然妊娠的可能性越小。
Objective: To explore the clinical value of uterine and laparoscopic diagnosis and treatment of tubal infertility. Methods: A retrospective analysis of clinical data of 177 cases of tubal infertility patients hospitalized in our hospital from May 2010 to April 2012 in our hospital, combined with laparoscopy, and follow-up postoperative pregnancy. Results: The rate of natural pregnancy after operation was 40.11% (71/177), of which 70.42% occurred within 6 months after operation (50/71). The rate of ectopic pregnancy was 3.39% (6/177). There was a significant negative correlation between postoperative spontaneous pregnancy rate and infertility time (β = -0.178, P <0.05), but not with age and type of infertility. Conclusions: The combination of hysteroscopy and laparoscopy diagnosis and treatment of tubal infertility have clinical value, and should be assisted by assisted reproductive technology for unnatural pregnancy after one year. The longer the infertility, the less likely the postoperative natural pregnancy.