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目的探讨宫腹腔镜联合治疗输卵管性不孕患者的临床疗效。方法选取吉林省人民医院妇产科2011年1月至2012年1月收治的输卵管性不孕患者资料150例,根据手术方法的不同将其分为观察组和对照组,观察组患者采用宫腹腔镜联合治疗,对照组患者采用输卵管通液术进行治疗。比较两组患者的术后输卵管复通率以及妊娠率。结果观察组患者术后复通66例,复通率为88.0%;对照组患者术后复通45例,复通率为60.0%,差异有统计学意义(P<0.05);随访2年,观察组患者妊娠率明显高于对照组,差异有统计学意义(P<0.01)。结论宫腹腔镜联合治疗输卵管性不孕患者效果明显。
Objective To investigate the clinical effect of hysteroscopy combined with laparoscopic treatment of tubal infertility. Methods 150 cases of tubal infertility patients admitted to Jilin Provincial People’s Hospital from January 2011 to January 2012 were divided into observation group and control group according to the different surgical methods.The patients in observation group were treated with intrauterine cavity Mirror combined treatment, control group patients with tubal fluid treatment. The postoperative tubal recanalization rate and pregnancy rate were compared between the two groups. Results In the observation group, there were 66 cases of recanalization after operation, the recurrence rate was 88.0%; in the control group, 45 cases were recanalized after operation, the recurrence rate was 60.0%, the difference was statistically significant (P <0.05) The pregnancy rate in observation group was significantly higher than that in control group, the difference was statistically significant (P <0.01). Conclusions Laparoscopy combined with laparoscopic treatment of tubal infertility patients with obvious effect.