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目的探讨宫腔镜联合腹腔镜治疗输卵管性不孕症的效果。方法回顾性分析湖北省黄石市中心医院2012年3月至2014年3月收治的77例输卵管性不孕患者的临床资料,按照不同手术治疗方式将其分为观察组(47例)和对照组(30例),对照组在宫腔镜引导下行输卵管疏通术,观察组在对照组基础上联合腹腔镜进行手术,比较两组的治疗效果。结果观察组输卵管完全通畅率(89.4%)显著高于对照组(70.0%)(P<0.05)。随访患者6~24个月,观察组妊娠成功率(83.0%)及宫内妊娠率(74.5%)显著高于对照组(60.0%、40.0%)(P<0.05)。结论宫腔镜联合腹腔镜治疗输卵管性不孕症效果良好。
Objective To investigate the effect of hysteroscopy combined with laparoscopy in the treatment of tubal infertility. Methods The clinical data of 77 patients with tubal infertility admitted from March 2012 to March 2014 in Central Hospital of Huangshi, Hubei Province were retrospectively analyzed. According to the different surgical methods, they were divided into observation group (47 cases) and control group (30 cases). The control group underwent tubal dredging guided by hysteroscopy. The observation group underwent laparoscopic surgery on the basis of the control group, and the treatment effect was compared between the two groups. Results The tubal patency (89.4%) in the observation group was significantly higher than that in the control group (70.0%) (P <0.05). Follow-up of patients 6 to 24 months, the observation group of pregnancy success rate (83.0%) and intrauterine pregnancy rate (74.5%) was significantly higher than the control group (60.0%, 40.0%) (P lt; Conclusion Hysteroscopy combined with laparoscopy treatment of tubal infertility effect is good.