论文部分内容阅读
目的观察宫腹腔镜联合治疗输卵管性不孕症的临床效果。方法选取医院收治的输卵管性不孕症患者100例,随机分为观察组和对照组,每组50例。对照组采用宫腹腔镜插管通液传统治疗法,观察组采用宫腹腔镜手术治疗法,观察2组患者的手术情况,输卵管通畅性及并发症情况,临床效果指标。结果 2组患者术中出血量比较,差异无统计学意义(P>0.05);观察组手术时间、术后肛门排气时间均短于对照组(P<0.05或P<0.01);2组患者术后输卵管通畅性和并发症情况比较差异有统计学意义(P<0.01);观察组总有效率为96.00%,高于对照的78.00%(P<0.01)。结论宫腹腔镜联合手术治疗输卵管性不孕症相对于传统宫腔镜插管通液疗法更有效,创伤小,更安全,值得临床推广应用。
Objective To observe the clinical effect of hysteroscopy combined with laparoscopic treatment of tubal infertility. Methods 100 cases of tubal infertility admitted to hospital were randomly divided into observation group and control group with 50 cases in each group. The control group was treated with laparoscopic conventional intubation, and the observation group underwent laparoscopic hysteroscopic surgery. The operative conditions, tubal patency and complications, and the clinical effect of the two groups were observed. Results The bleeding volume in the two groups was no significant difference (P> 0.05). The operation time and anal exhaust time in the observation group were shorter than those in the control group (P <0.05 or P <0.01) The postoperative tubal patency and complications were significantly different (P <0.01). The total effective rate in the observation group was 96.00%, which was higher than that in the control group (78.00%, P <0.01). Conclusions Hysteroscopy combined with surgical treatment of tubal infertility is more effective, less invasive and safer than traditional hysteroscopic intubation and fluid therapy. It is worthy of clinical application.