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目的探讨宫腔镜插管通液联合腹腔镜在女性输卵管不孕的临床诊治措施。方法回顾分析105例患者的临床资料。结果本组105例无1例中转开腹,无手术并发症,术后6 h拔除尿管,嘱患者下床活动,患者术后24h内均肛门排气,术后均3~5 d出院,输卵管复通术后2年内共64例患者妊娠。结论宫腔镜插管通液联合腹腔镜诊治输卵管不孕优于单纯宫腔镜或者腹腔镜治疗,值得临床推广应用。
Objective To investigate the clinical diagnosis and treatment of female tubal infertility by hysteroscopic intubation and laparoscopy. Methods The clinical data of 105 patients were retrospectively analyzed. Results In this group, none of 105 cases were converted to laparotomy, no complications were found. The catheter was removed 6 h after operation and the patient was allowed to get out of bed. All patients underwent anus discharge within 24 hours after operation and were discharged 3 to 5 days after operation. Tubal recanalization within 2 years after a total of 64 patients with pregnancy. Conclusion Hysteroscopic catheterization combined with laparoscopic diagnosis and treatment of tubal infertility is better than simple hysteroscopy or laparoscopic treatment, which is worthy of clinical application.