输卵管阻塞性不孕症微创治疗的经济学评价

目的对输卵管阻塞性不孕症的微创治疗进行经济学评价。方法对136例输卵管阻塞性不孕症患者，分别应用介入导管（72例）、宫腔镜（21例）、腹腔镜（43例）进行治疗，比较各组患者的疗效、费用及费用-效果比，随访术后妊娠的情况。结果介入导管组、宫腔镜组输卵管阻塞的再通成功率分别为87．59％与71．79％，高于腹腔镜组的68．24％；例均费用分别为（3691±726）元与（3327±682）元，低于腹腔镜组的（6854±1065）元；费用-效果比分别为42．13与46．34，也低于腹腔镜组的100．44。术后随访1年，介入导管组宫内妊娠率高于宫腔镜、腹腔镜组。结论应用介入导管行输卵管阻塞再通的成功率及宫内妊娠率较高，总费用及费用一效果比较低，是治疗输卵管阻塞性不孕症较有价值的方法。

Economical evaluation of micro - invasive surgery in treating female infertility caused by fallopian tube obstruction

Objective To carry about the economic evaluation of clinical effect of micro - invasive surgery in treating female infertility caused by fallopian tube obstruction. Methods One hun- dred and thirtysix patients with female infertility were treated by self- made catheter（ 72 cases） , hysteroscopy（21 cases） or laparoscopy（43 cases）. The total cost and cost- effectiveness value of 136 patients in the three groups were analyzed. All patients were followed up for the pregnancy rate. Results Among the 136 patients treated by self- made catheter, hysteroscopy or laparoscopy, the oviduct recanalization successful rate was 87.59% , 71.79% and 68.24% respectively. And the total medical cost was （3691 ± 726） yuan, （3327 ± 682 ） yuan and （6854 ± 1065 ） yuan respectively, while the cost - effectiveness value was 42.13, 46.34 and 100.44 respectively. The pregnancy rate was higher in group of self- made catheter than that in other groups. Conclusions Interventional catheter shows a great value in the treatment of infertility caused by fallopian tube obstruction.