宫、腹腔镜联合治疗子宫内膜异位症不孕的临床研究

目的:探讨宫腔镜联合腹腔镜手术治疗子宫内膜异位症不孕的临床效果。方法:选取2014年4月至2015年5月收治的86例子宫内膜异位症不孕患者作为研究对象,分为观察组(行宫、腹腔镜联合治疗)与对照组(行腹腔镜手术),每组43例。观察两组患者术中出血量、手术时间、术后住院时间及妊娠情况。结果:两组术中出血量[(69.72±8.59)ml vs.(68.19±8.62)ml]、手术时间[(46.85±6.31)min vs.(45.93±6.29)min]、术后住院时间[(6.97±1.24)d vs.(7.12±1.25)d]差异无统计学意义(P>0.05);观察组术后随访期间总妊娠率为65.12%,显著高于对照组(41.86%),差异有统计学意义(P<0.05)。结论:宫、腹腔镜手术联合治疗子宫内膜异位症不孕安全、有效,可显著提高妊娠率,值得推广应用。

Clinical research of laparoscopy combined with hysteroscopy in the treatment of endometriosis infertility

Objective:To explore the clinical effects of laparoscopy combined with hysteroscopy in the treatment of endometrio -sis infertility.Methods:The 86 patients with endometriosis infertility who received treatment from Apr .2014 to May 2015 were selected as the research object ,and were divided into observation group and control group with 43 cases in each group .The control group re-ceived laparoscopic surgery only ,while the patients in observation group underwent laparoscopy combined with hysteroscopy .The intrao-perative blood loss ,operation time ,postoperative hospitalization time and pregnancy of two groups were observed .Results:There were no statistically significant differences between observation group and control group in the intraoperative blood loss [(69.72 ±8.59) ml vs. (68.19 ±8.62) ml],operation time [(46.85 ±6.31) min vs.(45.93 ±6.29) min],postoperative hospitalization time [(6.97 ± 1.24) d vs.(7.12 ±1.25) d].The total pregnancy rate in the observation group was 65.12%,which was significantly higher than that in the control group (41.86%,P<0.05).Conclusions:For the patients with endometriosis infertility ,the laparoscopy combined with hysteroscopy is safe and effective ,and can significantly improve the pregnancy rate ,thus it is worthy to be popularized and applied .