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目的研究宫腔镜联合腹腔镜治疗输卵管性不孕症的效果。方法选取2012年1月-2015年12月宿迁市妇产医院接诊的100例输卵管性不孕症患者为研究对象,按照随机数字表分为观察组和对照组,每组50例。对照组采用输卵管通液术治疗,观察组采用宫腔镜联合腹腔镜治疗。观察两组患者手术情况、治疗后输卵管通畅情况、术后妊娠及并发症情况、治疗疗效。结果观察组术中出血量、手术时间、术后肛门排气时间、住院时间分别为(42.39±10.82)ml、(63.02±7.24)min、(19.20±4.02)h、(5.72±1.02)d;对照组术中出血量、手术时间、术后肛门排气时间、住院时间分别为(44.29±11.29)ml、(64.23±8.02)min、(20.31±5.30)h、(6.03±1.28)d,两组比较差异无统计学意义(P>0.05)。观察组输卵管通畅率为94.00%(47/50),显著高于对照组(70.00%,35/50)(P<0.05)。观察组术后宫内妊娠率显著高于对照组(P<0.05)。观察组持续性下腹痛发生率显著低于对照组(P<0.05)。观察组总有效率为98.00%(49/50),显著高于对照组(80.00%,40/50)(P<0.05)。结论宫腔镜联合腹腔镜治疗输卵管性不孕症患者疗效显著,安全、有效,可使患者恢复生育能力。
Objective To study the effect of hysteroscopy combined with laparoscopy in the treatment of tubal infertility. Methods From January 2012 to December 2015, 100 cases of tubal infertility patients admitted to Suqian Maternity Hospital were enrolled in this study. According to random number table, the patients were divided into observation group and control group, 50 cases in each group. The control group treated with tubal fluid, the observation group by hysteroscopy combined with laparoscopy. The operation conditions, tubal patency after treatment, postoperative pregnancy and complications, and curative effect were observed. Results The intraoperative bleeding volume, operation time, postoperative anal exhaust time and hospital stay were (42.39 ± 10.82) ml, (63.02 ± 7.24) min, (19.20 ± 4.02) h and (5.72 ± 1.02) d, respectively. The blood loss, operation time, anal exhaust time and hospital stay in the control group were (44.29 ± 11.29) ml, (64.23 ± 8.02) min, (20.31 ± 5.30) h, (6.03 ± 1.28) d, There was no significant difference between the two groups (P> 0.05). The tubal patency rate in the observation group was 94.00% (47/50), which was significantly higher than that in the control group (70.00%, 35/50) (P <0.05). The intrauterine pregnancy rate in the observation group was significantly higher than that in the control group (P <0.05). The incidence of persistent lower abdominal pain in the observation group was significantly lower than that in the control group (P <0.05). The total effective rate in the observation group was 98.00% (49/50), which was significantly higher than that in the control group (80.00%, 40/50) (P <0.05). Conclusion Hysteroscopy combined with laparoscopy in the treatment of tubal infertility patients with significant effect, safe and effective, allowing patients to reproductive capacity.