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目的观察和分析输卵管不通不孕症患者应用腹腔镜联合宫腔镜治疗的临床效果。方法选取2013年5月—2014年5月收治的76例输卵管不通不孕症患者,采用双色球随机分组法分为对照组(例数=38)及观察组(例数=38),对照组患者采用宫腔镜通液治疗,观察组患者采用腹腔镜联合宫腔镜治疗,观察和比较两组患者临床治疗效果。结果观察组患者手术和住院时间、出血量、异位妊娠率低于对照组,妊娠率、输卵管通畅率较对照组更高(P<0.05)。结论在输卵管不通不孕症治疗中,腹腔镜联合宫腔镜具有损伤小、操作便捷等优势,可明显改善临床症状,提高输卵管再通率和妊娠率,提升患者生活质量,值得临床推广应用。
Objective To observe and analyze the clinical effect of laparoscopic combined hysteroscopy in the treatment of tubal infertility. Methods Totally 76 patients with tubal infertility who were treated from May 2013 to May 2014 were divided into control group (n = 38) and observation group (n = 38) by two-color ball randomization method. Patients in the control group Hysteroscopic treatment was adopted. Patients in the observation group were treated with laparoscopy combined with hysteroscopy. The clinical effects of the two groups were observed and compared. Results The operation and hospitalization time, bleeding volume and ectopic pregnancy rate in the observation group were lower than those in the control group. The pregnancy rate and tubal patency rate were higher in the observation group than those in the control group (P <0.05). Conclusion In the treatment of tubal infertility, laparoscopic combined hysteroscopy has the advantages of small injury, convenient operation and so on, which can significantly improve clinical symptoms, improve the tubal recanalization rate and pregnancy rate, and improve the quality of life of patients. It is worthy of clinical application.