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目的探讨宫腹腔镜联合治疗输卵管性不孕的疗效。方法回顾性分析成都市妇女儿童中心医院2012年1月至2014年7月诊断为输卵管性不孕213例患者的临床资料。接受宫腹腔镜治疗的109例患者纳入观察组,104例接受药物等非手术治疗的患者纳入对照组。比较两组在诊断治疗后2年内的妊娠情况及妊娠结局。结果观察组术后1年宫内妊娠率41.3%(45/109),术后2年宫内妊娠率10.1%(11/109),术后2年内异位妊娠率7.3%(8/109);对照组自诊断该疾病起1年宫内妊娠率5.8%(6/104),2年宫内妊娠率1.9%(2/104),2年内异位妊娠率4.8%(5/104)。两组术后宫内妊娠率比较差异有统计学意义(P<0.05),异位妊娠率比较差异无统计学意义(P>0.05)。结论对于输卵管性不孕患者,行宫腹腔镜联合治疗,可明显提高妊娠率,且术后1年内妊娠率更高。
Objective To investigate the effect of hysteroscope combined with laparoscopic treatment of tubal infertility. Methods The clinical data of 213 cases of tubal infertility diagnosed in Chengdu Women and Children Hospital from January 2012 to July 2014 were retrospectively analyzed. One hundred and nine patients undergoing hysteroscopic laparoscopy were enrolled in the observation group and 104 patients receiving non-surgical treatment such as drugs were included in the control group. The two groups were compared in the diagnosis and treatment within 2 years after pregnancy and pregnancy outcomes. Results The intrauterine pregnancy rate was 41.3% (45/109) at 1 year postoperatively, 10.1% (11/109) intrauterine pregnancy at 2 years postoperatively, and 7.3% (8/109) at 2 years postoperatively The incidence of intrauterine pregnancy in the control group was 5.8% (6/104) for 1-year intrauterine pregnancy, 1.9% (2/104) for 2-year intrauterine pregnancy, and 4.8% (5/104) for 2 years. The intrauterine pregnancy rates were significantly different between the two groups (P <0.05). There was no significant difference in ectopic pregnancy rate between the two groups (P> 0.05). Conclusion For patients with tubal infertility, hysteroscope combined with laparoscopy can significantly improve the pregnancy rate, and the pregnancy rate is higher within 1 year after operation.