腹腔镜联合宫腔镜治疗输卵管不通不孕症临床研究

目的：研究分析腹腔镜联合宫腔镜治疗输卵管不通不孕症临床效果。方法随机选取该院2014年1月-2015年1月收治的输卵管不通不孕症者100例为研究对象,随机分为两组：对照组和联合组,每组50例。对照组单纯采用宫腔镜通液治疗,联合组采取腹腔镜联合宫腔镜治疗。观察两组患者的术中出血量、手术时间及住院时间；术后两个月对患者的输卵管行通液检查,检查通液情况。术后1年观察比较两组患者的妊娠情况。比较分析两组临床手术指标及治疗效果。结果比较两组患者的术中出血量、手术时间及住院时间,联合组分别为(35.96±23.75﹚ mL、(61.93±16.29)min、(7.29±1.62)d；对照组分别为(55.12±25.67﹚mL、(75.12±15.56)min、(9.83±1.53)d,差异有统计学意义(P<0.05﹚。联合组患者输卵管通畅人数为46例,宫内妊娠人数为43例、未妊娠人数为7例,总治愈率为92%；对照组患者输卵管通畅人数为35例,宫内妊娠人数为31例、未妊娠人数为19例,总治愈率为70%,联合组明显高于对照组,差异有统计学意义(P<0.05﹚。结论腹腔镜联合宫腔镜治疗输卵管不通不孕症,术后损伤小,治疗效果显著,能够促进患者早日康复,具有临床推广价值。

Clinical Study of the Effect of Laparoscopic Combined with Hysteroscopic Treatment on the Infertility Due to Fallopian Tube Obstruction

Objective To study and analyze the clinical effect of laparoscope combined with hysteroscope in the treatment of infertility due to fallopian tube obstruction. Methods 100 cases with infertility due to fallopian tube obstruction treated in our hospital from January 2014 to January 2015 were selected as the subjects and randomly divided into 2 groups, the con-trol group and combined group, 50 cases in each group. The patients in the control group were treated by hydrotubation with hysteroscope, and those in the combined group were treated by hydrotubation with laparoscope and hysteroscope. The intra-operative blood loss, duration of procedure and length of stay of the two groups were observed. 2 months after treatment, tubal patency test was performed in both groups, and the result was checked. The incidence of pregnancy was compared be-tween the two groups 1 year after surgery. And the surgical indexes and treatment effect of the two groups were compared and analyzed. Results The intraoperative blood loss, duration of procedure and length of stay was (35.96 ±23.75) mL, (61.93±16.29) min and (7.29±1.62) d, respectively in the combined group, and (55.12±25.67) mL, (75.12±15.56) min, (9.83± 1.53) d respectively in the control group with statistically significant differences between the two groups (P<0.05). Compared with the control group, the combined group had more patients with fallopian tube patency (46 cases vs 35 cases), more pa-tients with uterine pregnancy (43 cases vs 31 cases), less patients without pregnancy (7 cases vs 19 cases), higher overall cure rate (92%vs 70%) with statistically significant differences between the two groups (P<0.05). Conclusion For infertility due to fallopian tube obstruction, laparoscopic combined with hysteroscopic treatment has significant effect with small post-operative injury, which can promote the rehabilitation as soon as possible with the value of clinical promotion.