宫腔镜下输卵管通液在输卵管因素引起不孕治疗中的应用

目的探讨宫腔镜及宫腹腔镜联合下输卵管插管通液术在治疗输卵管中段及近端阻塞引起的不孕症中的应用。方法2008年1月-2011年12月92例不孕症患者实施宫腔镜输卵管插管通液及宫腹腔镜联合输卵管插管通液,追踪术后1年内受孕情况。结果宫腔镜组14例患者输卵管通液通畅（通畅率35%）,宫腹腔镜组30例输卵管插管通畅（通畅率65.2%）,两者比较差异明显。术后1年观察宫腔镜组9例妊娠,宫内妊娠率19.5%;宫腹腔镜组14例宫内妊娠,宫内妊娠率30.4%。结论宫腔镜下输卵管插管通液是治疗输卵管阻塞尤其是近端梗阻行之有效的方法,宫腹腔镜联合可提高疗效。

The effect of hydrotubation by tube insertion on tubal infertility with hysteroscope

Objective To explore therapeutic value of hydrotubation by tube insertion on inferitility induced by fallopian tube occlusion in middle and proximal with hysteroscope or hysteroscope combined with laparoscope.Methods 92 cases of oviduct infertility were chosen from January 2008 to December 2011.One group was only hydrotubation by tube insertion under hysteroscope,the other group was hydrotubation by tube insertion under hysteroscope combined with laparoscope.All cases were followed up of pregnancy rate until one year of postoperation.Results 14 cases were succeed in hysteroscope group(the successful rate was 35%).30 cases were succeed in hysteroscope combined with laparoscope(the successful rate was 65.2%).The difference between the two guoups was significance.Followed up till 1 year after operation.9 cases succeed in pregnancy in hysteroscope,the intrauterine pregnancy rate is 19.5%,14 cases succeed in pregnancy in hysteroscope combined with laparoscope,the intrauterine pregnancy rate in 30.4%.Conclusion The hydrotubation by tube insertion with hysteroscope is a effective method of treat fallopian tube obstruction especially in proximal obstrucion.Hysteroscope combined with laparoscope can enhance the effects.