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目的探讨宫腹腔镜联合诊治女性不孕症的临床治疗效果及应用价值。方法将160例女性不孕症患者采用随机数字表法分为两组,均给予中药调经促孕丸进行治疗,对照组给予宫腔镜治疗,观察组采取宫腹腔镜联合治疗,记录两组临床疗效。结果观察组治疗总有效率为85.00%,术中出血量(51.85±6.47)ml,手术时间(47.86±8.97)min,住院时间(4.66±1.32)d;对照组治疗总有效率为65.00%,术中出血量(52.32±6.58)ml,手术时间(42.13±4.19)min,住院时间(6.83±2.72)d,其中治疗总有效率、手术时间和住院时间组间对比差异有统计学意义(P<0.05)。观察组治疗后黄体生成素(LH)(9.11±1.05)U/L,卵泡刺激素(FSH)(4.03±1.13)U/L,雌二醇(E2)(164.82±15.38)pg/ml;对照组治疗后LH(12.48±1.49)U/L,FSH(7.98±2.07)U/L,E2(130.13±10.77)pg/ml,组间对比差异有统计学意义(P<0.05)。结论宫腹腔镜联合中药调经促孕丸诊治女性不孕症疗效可靠,能够改善患者体内激素水平,术后宫内妊娠率显著提升,值得在临床上大力推广使用。
Objective To explore the clinical effect and application value of hysteroscopy combined with laparoscopy in diagnosis and treatment of female infertility. Methods A total of 160 female infertility patients were divided into two groups according to the random number table. All patients were treated with traditional Chinese medicine for promoting menstruation and promoting pregnancy. The control group was given hysteroscopy. The observation group was treated by hysteroscope combined with laparoscopy. Efficacy. Results The total effective rate of observation group was 85.00%, blood loss (51.85 ± 6.47) ml, operation time (47.86 ± 8.97) min and hospitalization time (4.66 ± 1.32) d respectively. The total effective rate of the control group was 65.00% The blood loss in operation was (52.32 ± 6.58) ml, the operation time was (42.13 ± 4.19) min and the hospitalization time was (6.83 ± 2.72) days. The total effective rate, operative time and hospital stay were significantly different <0.05). After treatment, the LH of the observation group was 9.11 ± 1.05 U / L, the FSH was 4.03 ± 1.13 U / L and the E2 was 164.82 ± 15.38 pg / The difference between the two groups was statistically significant (P <0.05). After treatment, the levels of LH (12.48 ± 1.49) U / L, FSH (7.98 ± 2.07) U / L and E2 (130.13 ± 10.77) pg / ml, respectively. Conclusions Hysteroscopy combined with traditional Chinese medicine to regulate menstruation and promote pregnancy pills is effective in treating female infertility, which can improve the level of hormone in patients and significantly improve the intrauterine pregnancy rate. Therefore, it is worth to be popularized in clinic.