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目的探讨宫腹腔镜在临床治疗输卵管不孕中的应用情况。方法选取入医院治疗的输卵管不孕患者92例作为研究对象,根据手术方式将患者分为观察组和对照组。观察组46例予以宫腹腔镜联合输卵管插管通液术治疗,对照组46例腹腔镜下输卵管插管通液术治疗,记录两组手术时间、术中出血量、胃肠功能恢复时间及住院时间,记录两组患者输卵管再通率,随访6、12个月了解两组临床妊娠率。结果观察组治疗后输卵管再通率为82.61%,显著高于对照组(63.04%),二组比较差异有统计学意义(P<0.05)。两组术后6个月妊娠率无明显差异(P>0.05),观察组术后12个月后临床妊娠率为28.26%,显著高于对照组(10.87%),二组比较差异具有统计学意义(P<0.05)。结论宫腹腔镜联合手术能够提高输卵管性不孕患者的临床妊娠率。
Objective To investigate the clinical application of hysteroscopy in the treatment of tubal infertility. Methods Totally 92 inpatients with tubal infertility were enrolled in this study. Patients were divided into observation group and control group according to the operation method. 46 patients in the observation group were treated by laparoscopy combined with tubal intubation and 46 in the control group were treated by laparoscopic tubal intubation. The operative time, intraoperative blood loss, gastrointestinal function recovery time and hospitalization Time, record the two groups of patients tubal recanalization rate, follow-up 6,12 months to understand the two groups of clinical pregnancy rate. Results The tubal recanalization rate in the observation group was 82.61%, significantly higher than that in the control group (63.04%). The difference between the two groups was statistically significant (P <0.05). There was no significant difference in pregnancy rate between the two groups at 6 months (P> 0.05). The clinical pregnancy rate was 28.26% in the observation group after 12 months of operation, which was significantly higher than that of the control group (10.87%). The difference between the two groups was statistically Significance (P <0.05). Conclusions Laparoscopy combined with laparoscopic surgery can improve the clinical pregnancy rate in patients with tubal infertility.