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目的:观察腹腔镜联合宫腔镜应用治疗输卵管不通不孕症的临床疗效。方法:选取我院2010~2013年间入院的输卵管不通不孕症患者58例为观察对象,对58例不孕症患者,同时用宫腔镜、腹腔镜联合治疗,观察患者的各项手术指标以及治疗后患者的输卵管再通情况和妊娠情况。同时选择58例输卵管不通不孕症患者作为对照组,采用常规手术治疗输卵管不通,6个月后观察对比2组患者的治愈率、输卵管再通率、妊娠率。结果:观察组患者治愈率、输卵管通畅率和宫内妊娠率明显高于对照组,2组比较均有显著性差异(P<0.05)。结论:对输卵管不通所致不孕患者行腹腔镜联合宫腔镜治疗操作方便,疗效确切,是一种安全有效的治疗方法,值得临床进一步推广使用。
Objective: To observe the clinical effect of laparoscopy combined with hysteroscopy in treating tubal infertility. Methods: Fifty-eight infertile women with tubal infertility who were admitted to our hospital from 2010 to 2013 were selected as the observation objects. 58 cases of infertility patients were treated with hysteroscopy combined with laparoscopy. The surgical indexes of the patients were observed. Tubal recanalization and pregnancy status after treatment. At the same time select 58 cases of tubal infertility patients as control group, the use of conventional surgical treatment of tubal barrier, 6 months after the comparison of the two groups were observed cure rate, tubal recanalization rate, pregnancy rate. Results: The cure rate, tubal patency rate and intrauterine pregnancy rate in the observation group were significantly higher than those in the control group. There was significant difference between the two groups (P <0.05). Conclusion: It is a safe and effective treatment for patients with infertility due to fallopian tubal obstruction to laparoscopic combined with hysteroscopy. It is worth to be further popularized and used clinically.