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目的观察宫腔镜诊治输卵管阻塞性不孕的效果,探讨其临床应用价值。方法回顾于2008年2月～2010年6月诊治的96例输卵管阻塞性不孕患者的临床资料,按治疗方式不同分为两组,所有患者经子宫输卵管造影确诊,观察组(n=66)采用宫腔镜检查及宫腔镜下输卵管插管通液术进行治疗,对照组(n=30)采用常规输卵管通液术治疗,分析观察组的检查结果,同时对比两组的临床疗效。结果①观察组对单、双侧输卵管阻塞治疗通畅率为90.9%,对照组为76.7%,两组差异具有显著性(P<0.05);②随访1～2年,观察组60例治疗有效患者妊娠36例(54.5%),对照组23例治疗有效患者妊娠8例(34.8%),两组差异具有显著性(P<0.05)。结论宫腔镜可明确检查输卵管阻塞的具体情况,在宫腔镜下行输卵管通液治疗输卵管阻塞性不孕具有满意效果,再通率高,且术后患者妊娠率高,具有临床推广意义。
Objective To observe the effect of hysteroscopy in diagnosis and treatment of obstructive tubal infertility and explore its clinical value. Methods The clinical data of 96 patients with tubal obstructive infertility who were diagnosed and treated from February 2008 to June 2010 were divided into two groups according to the different treatment methods. All patients were diagnosed by hysterosalpingography. The observation group (n = 66) Hysteroscopy and hysteroscopic tubal intubation were used for the treatment. The control group (n = 30) was treated by conventional tubal fluidization and the results of the observation group were analyzed. At the same time, the clinical efficacy of the two groups was compared. Results ① The patency rate of single and bilateral tubal obstruction was 90.9% in the observation group and 76.7% in the control group, with significant difference between the two groups (P <0.05); ② In the observation group of 60 patients who were followed up for 1 to 2 years, Pregnancy in 36 cases (54.5%), control group of 23 patients with effective treatment of pregnancy in 8 cases (34.8%), the difference between the two groups was significant (P <0.05). Conclusion Hysteroscopy can detect the specific situation of tubal obstruction, hysteroscopic tubal fluid through the tubal obstruction infertility with satisfactory results, high pass rate, and postoperative patients with high pregnancy rate, with clinical significance.