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目的探讨宫腔镜及宫腹腔镜联合下输卵管插管通液术在治疗输卵管中段及近端阻塞引起的不孕症中的应用。方法2008年1月-2011年12月92例不孕症患者实施宫腔镜输卵管插管通液及宫腹腔镜联合输卵管插管通液,追踪术后1年内受孕情况。结果宫腔镜组14例患者输卵管通液通畅(通畅率35%),宫腹腔镜组30例输卵管插管通畅(通畅率65.2%),两者比较差异明显。术后1年观察宫腔镜组9例妊娠,宫内妊娠率19.5%;宫腹腔镜组14例宫内妊娠,宫内妊娠率30.4%。结论宫腔镜下输卵管插管通液是治疗输卵管阻塞尤其是近端梗阻行之有效的方法,宫腹腔镜联合可提高疗效。
Objective To investigate the application of hysteroscopy and laparoscopy combined with tubal intubation in the treatment of tubal infertility caused by obstruction in the middle and proximal obstruction. METHODS: From January 2008 to December 2011, 92 infertile patients underwent hysteroscopic tubal intubation and laparoscopy combined with tubal intubation for the purpose of tracking the pregnancy status within 1 year after operation. Results Hysteroscopy group of 14 patients with tubal patency (patency rate of 35%), hysteroscopy group of 30 cases of tubal intubation patency (patency rate of 65.2%), the difference was significant between the two. One year after operation, 9 cases of hysteroscopy group were observed for pregnancy and intrauterine pregnancy rate was 19.5%; 14 cases of intrauterine pregnancy in utero laparoscopy group and 30.4% of intrauterine pregnancy rate. Conclusion Hysteroscopic tubal intubation is an effective treatment for tubal occlusion, especially proximal obstruction. Hysteroscopy combined with laparoscopy can improve the curative effect.