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目的:探讨妇科内窥镜在输卵管阻塞性不孕临床治疗中的应用价值。方法:以我院不孕不育科于2014年收治的100例输卵管阻塞性不孕病例作为观察病例,采用随机抽样法分为对照组(50例)与观察组(50例),对照组给予宫腔输卵管灌注治疗;观察组给予宫腹腔镜下输卵管复通术治疗,对比两组的输卵管复通成功率以及术后1年内妊娠情况。结果:(1)观察组中,近端梗阻组、中远端阻塞组、输卵管积水组与粘连闭锁组术后输卵管复通成功率均明显高于对照组中各组的成功率,具有统计学意义,P<0.05。(2)1年内,观察组成功妊娠率为44%,明显高于对照组,具有统计学意义,P<0.05。结论:在输卵管阻塞性不孕患者的治疗中开展内窥镜下手术治疗,有助于医师掌握输卵管的阻塞部位与性质,提高手术的准确性与成功率,近期妊娠率较高。
Objective: To investigate the clinical value of gynecological endoscopy in the treatment of tubal obstruction infertility. Methods: One hundred cases of tubal obstructive infertility admitted to our hospital in 2014 were divided into control group (50 cases) and observation group (50 cases) by random sampling method. The control group was given Uterine tubal infusion therapy; observation group given laparoscopic hysteroscopic recanalization treatment, compared the success rate of tubal recanalization and pregnancy within 1 year after operation. Results: (1) In the observation group, the success rates of tubal recanalization in the proximal obstruction group, the mid-distal obstruction group, the hydrosalpinx group and the adhesion block group were significantly higher than those in the control group, with statistical Significance, P <0.05. (2) Within 1 year, the successful pregnancy rate in observation group was 44%, which was significantly higher than that in control group, with statistical significance (P <0.05). Conclusion: The treatment of tubal obstructive infertility in patients undergoing endoscopic surgery, help physicians grasp the obstruction of the fallopian tube parts and nature of the surgery to improve the accuracy and success rate, the recent pregnancy rate higher.