腹腔镜与宫腔镜联合治疗输卵管性不孕的临床研究

目的探讨腹腔镜联合宫腔镜对输卵管性不孕的治疗效果。方法将100例输卵管性不孕患者随机分成观察组和对照组,每组50例,对照组单纯采用腹腔镜治疗,观察组采用腹腔镜联合宫腔镜治疗,对比两组疗效。结果两组患者手术时间、术中出血量、住院时间等方面对比,差异无统计学意义(P0.05);观察组患者术后输卵管再通率(84%)明显高于对照组(62%)(P0.05);观察组妊娠率(32.0%)明显高于对照组(18.0%)(P0.05)。结论采用宫腔镜联合腹腔镜治疗输卵管性不孕,具有疗效显著、输卵管再通率高、术后妊娠率高的优点,值得推广应用。

Efficacy research of laparoscopy combined with hysteroscopy for tubal infertility

Objective To investigate efficacy of laparoscopy combined with hysteroscopy for tubal infertility. Methods 100 cases of tubal infertility were randomly divided into observation group and control group,50 for each. Patients in control group were treated with laparoscopy,and patients in observation group were treated with laparoscopy combined with hysteroscopy. The efficacies of two groups were compared.Results There were no significant differences in operation time,blood loss or hospital days（ P〉0. 05）. The rate of fallopian tube recanalization in observation group was significantly higher than that of control group（ P〈0. 05）. The pregnancy rate of observation group（ 32. 0%） was significantly higher than that of control group（ 18. 0%）（ P〈0. 05）. Conclusion Hysteroscopy combined with laparoscopy in the treatment of tubal infertility has advantages of significant efficacy,high fallopian tube recanalization rate and high pregnancy rate,worthy of clinical promotion.