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目的探讨放射介入治疗输卵管不同部位阻塞性不孕效果观察。方法选取2014年11月—2015年11月收治的输卵管不同部位阻塞性不孕症患者150例,随机分为对照组和观察组各75例,对照组采用放射介入治疗,观察组采用妇科内镜进行治疗,比较两组治疗效果,计数资料组间比较用χ~2检验,P<0.05为差异有统计学意义。结果经过手术治疗后1年随访,观察组中远端阻塞型患者完全阻塞发生率为19.05%、输卵管积水型患者完全阻塞发生率21.74%,周围组织粘连、伞端闭锁型患者完全阻塞发生率为21.43%,对照组分别为57.90%、57.90%、70.00%,两组比较差异均有统计学意义(χ~2=6.423、10.932、7.771,均P<0.05)。随访1年内观察组中远端阻塞型患者妊娠率为38.10%(8/21)、输卵管积水型患者妊娠率为30.43%(7/23)和周围组织粘连、伞端闭锁型妊娠率为28.57%(4/14);对照组分别为10.53%(2/19)、4.76%(1/21)、0.00%。两组比较差异均有统计学意义(χ~2=4.043、4.864、6.476,均P<0.05)。观察组中远端阻塞型、输卵管积水型和周围组织粘连、伞端闭锁型患者术后1年内输卵管阻塞情况和内妊娠情况均好于对照组,两组比较差异均有统计学意义(均P<0.05)。结论采用妇科内镜治疗输卵管不同部位阻塞性不孕疗效确切,综合治疗效果要优于放射介入治疗。
Objective To investigate the effect of radiological intervention on obstructive infertility in different parts of fallopian tube. Methods 150 patients with obstructive infertility in different parts of fallopian tube from November 2014 to November 2015 were randomly divided into control group and observation group with 75 cases each. The control group was treated with radiotherapy. The observation group was treated with gynecological endoscopy After treatment, the curative effect was compared between the two groups. The count data were compared byχ ~ 2 test, P <0.05 was considered statistically significant. Results After a year of follow-up after operation, the incidence of complete occlusion in the obstructive patients in the observation group was 19.05%, that in the hydrosalpinx patients was 21.74%, the rate of complete occlusion in the surrounding tissue adhesions and umbrella-end closure patients 21.43% in the control group and 57.90%, 57.90% and 70.00% in the control group respectively (χ ~ 2 = 6.423, 10.932, 7.771, all P <0.05). The pregnancy rate was 38.10% (8/21) in the obstruction group and 30.43% (7/23) in the tubal hydrops and the surrounding tissue adhesion rate in the observation group was 28.57 % (4/14) respectively; the control group was 10.53% (2/19), 4.76% (1/21) and 0.00% respectively. The differences between the two groups were statistically significant (χ ~ 2 = 4.043,4.864,6.476, both P <0.05). Observation group of distal obstruction, hydrosalpinx and surrounding tissue adhesion, umbrella end-closure patients within 1 year after tubal occlusion and pregnancy were better than the control group, the difference between the two groups were statistically significant (both P <0.05). Conclusion Obstetrics and Gynecology endoscopic treatment of tubal obstruction in different parts of the exact effect of treatment, the comprehensive treatment effect is better than radiation interventional therapy.