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目的探讨宫腹腔镜联合治疗不孕症的方法及临床效果。方法将南阳市肿瘤医院自2009年12月至2012年12月收治的104例不孕症患者随机分为观察组与参考组,每组52例,给予参考组常规的药物治疗,观察组采用宫腹腔镜联合治疗,比较两组治疗后输卵管的通畅性,对患者均进行为期3年的随访,记录两组患者的怀孕、妊娠及手术并发症发生率。结果观察组治疗有效率为96.2%,参考组为73%,两组比较差异有统计学意义(P<0.05),观察组手术时间明显短于参考组(P<0.05),两组随访均未发现并发症(P>0.05);观察组怀孕48例,自然分娩46例,流产1例,宫外孕1例,参考组怀孕35例,自然分娩30例,流产3例,宫外孕2例,两组比较差异有统计学意义(P<0.05)。结论采用宫腹腔镜联合治疗不孕症安全有效,妊娠结局较好,值得推广。
Objective To explore the method and clinical effect of laparoscopy combined with laparoscopy in the treatment of infertility. Methods Totally 104 cases of infertility patients who were treated in Nanyang Tumor Hospital from December 2009 to December 2012 were randomly divided into observation group and reference group, with 52 cases in each group. The patients in reference group were given conventional medication. Laparoscopy combined treatment of tubal patency after treatment were compared, the patients were followed up for a period of 3 years, recording the incidence of pregnancy, pregnancy and surgical complications in both groups. Results The effective rate of observation group was 96.2%, while that of reference group was 73%. The difference between the two groups was statistically significant (P <0.05). The operation time of the observation group was significantly shorter than that of the reference group (P <0.05) 48 cases of pregnancy were observed, 46 cases of spontaneous labor, 1 case of abortion, 1 case of ectopic pregnancy, 35 cases of pregnancy in reference group, 30 cases of spontaneous labor, 3 cases of abortion and 2 cases of ectopic pregnancy. The difference was statistically significant (P <0.05). Conclusions Hysteroscopy combined with laparoscopic treatment of infertility is safe and effective, pregnancy outcome is better, it is worth promoting.