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目的探讨宫腹腔镜对女性不孕患者的临床治疗效果。方法选择2010年1月至2013年1月在中山市黄圃人民医院接受治疗的女性不孕患者136例,随机分为观察组和对照组,每组各68例。对照组予以宫腔镜治疗,观察组予以宫腹腔镜联合治疗,观察患者临床疗效。结果观察组疗效优于对照组,观察组治疗后卵泡刺激素(follicle stimulating hormone,FSH)、黄体生成素(luteinizing hormone,LH)水平降低幅度较对照组明显,雌二醇(Estradiol,E2)水平升高幅度大于对照组(P<0.05);随访发现观察组宫内妊娠率高于对照组(P<0.05);观察组手术时间较对照组长,住院费用高于对照组(P<0.05)。结论宫腹腔镜联合治疗女性不孕效果优于宫腔镜治疗,可以有效改善患者体内激素水平,且术后宫内妊娠率显著提高,但是会延长住院时间并增加治疗费用,因此临床上应根据患者疾病情况选择合适的治疗方案。
Objective To investigate the clinical effect of laparoscopy on female infertility. Methods 136 female infertility patients who were treated in Zhongshan Huangpu People’s Hospital from January 2010 to January 2013 were randomly divided into observation group and control group with 68 cases in each group. The control group was treated with hysteroscopy, and the observation group was treated with laparoscopy combined with laparoscopy to observe the clinical effect. Results The observation group was better than the control group. The reduction of follicle stimulating hormone (FSH) and luteinizing hormone (LH) in the observation group was significantly lower than that in the control group, while the estradiol (E2) (P <0.05). The intrauterine pregnancy rate in the observation group was higher than that in the control group (P <0.05). The operation time in the observation group was longer than that in the control group, and the hospitalization expense was higher than that in the control group (P <0.05) . Conclusions Hysteroscopy combined treatment of female infertility is better than hysteroscopy, can effectively improve the hormone levels in patients with intrauterine pregnancy increased significantly, but will prolong the length of stay and increase the cost of treatment, it should be based on clinical The patient’s condition to choose the appropriate treatment.