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目的观察宫腔镜与腹腔镜联合治疗输卵管阻塞性不孕症的临床效果。方法选择2009年6月至2010年12月输卵管阻塞性不孕症患者128例,随机分为治疗组和对照组,对照组采用宫腔镜引导下输卵管插管疏通术,治疗组采用宫、腹腔镜联合手术,观察两组输卵管通畅情况、术后并发症及妊娠率。结果对照组输卵管再通率为49.2%,妊娠率37.5%,治疗组分别为75.0%和77.3%,治疗组明显优于对照组(P<0.01)。两组术后并发症比较无统计学意义(P>0.05)。结论宫腔镜与腹腔镜联合治疗输卵管阻塞性不孕症具有可视、微创、输卵管再通率高、妊娠率高的优点。
Objective To observe the clinical effect of hysteroscopy and laparoscopy in the treatment of tubal obstruction infertility. Methods 128 patients with tubal obstruction infertility from June 2009 to December 2010 were randomly divided into treatment group and control group. The control group was treated with hysteroscopy-guided tubal catheterization. The treatment group was treated with uterine cavity Mirror combined surgery, observation of two groups of tubal patency, postoperative complications and pregnancy rate. Results The tubal recanalization rate was 49.2% in the control group and pregnancy rate was 37.5%. The treatment group was 75.0% and 77.3% respectively. The treatment group was significantly better than the control group (P <0.01). There was no significant difference in postoperative complications between the two groups (P> 0.05). Conclusion Hysteroscopy combined with laparoscopy in the treatment of tubal obstruction infertility has the advantages of visualization, minimally invasive, high tubal recanalization rate and high pregnancy rate.