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目的探讨宫腔镜联合腹腔镜辅助治疗输卵管性不孕的临床疗效。方法选取新密市新华医院2014年3月—2015年6月收治的输卵管性不孕患者116例,按入院顺序分为对照组和观察组,各58例。对照组患者采用宫腔镜下插管通液治疗,观察组患者采用宫腔镜联合腹腔镜下插管通液治疗。比较两组患者的手术情况(手术时间、出血量及住院时间)、输卵管畅通程度及术后妊娠情况(宫内妊娠、异位妊娠、未妊娠)。结果观察组患者手术时间长于对照组,出血量多于对照组(P<0.05);两组患者住院时间比较,差异无统计学意义(P>0.05)。观察组患者输卵管畅通程度优于对照组(P<0.05)。随访1年,观察组患者宫内妊娠率高于对照组,未妊娠率低于对照组(P<0.05)。结论宫腔镜联合腹腔镜辅助治疗输卵管性不孕的效果明显,可有效疏通输卵管,提高妊娠率。
Objective To investigate the clinical effect of hysteroscopy combined with laparoscopy in the treatment of tubal infertility. Methods 116 cases of tubal infertility patients who were treated in Xinhua Hospital of Xinmi City from March 2014 to June 2015 were divided into control group and observation group according to the order of hospitalization, 58 cases each. Patients in the control group were treated with hysteroscopic intubation, and those in the observation group were treated with hysteroscopy and laparoscopic intubation. The operation conditions (operation time, blood loss and hospital stay), the degree of tubal unobstructed and postoperative pregnancy (intrauterine pregnancy, ectopic pregnancy, non-pregnancy) were compared between the two groups. Results The operation time of the observation group was longer than that of the control group, and the amount of bleeding was more than that of the control group (P <0.05). There was no significant difference in hospitalization time between the two groups (P> 0.05). Observation group patients tubal unobstructed degree better than the control group (P <0.05). The follow-up of 1 year, the intrauterine pregnancy rate was higher in the observation group than in the control group, and the non-pregnancy rate was lower than that in the control group (P <0.05). Conclusion hysteroscopy combined with laparoscopy assisted tubal infertility obvious effect, which can effectively clear the fallopian tubes and improve pregnancy rate.