中国妇幼健康研究
中國婦幼健康研究
중국부유건강연구
CHINESE JOURNAL OF MATERNAL AND CHILD HEALTH RESEARCH
2014年
2期
254-257
,共4页
宫腔镜%腹腔镜%输卵管性疾病%不孕症
宮腔鏡%腹腔鏡%輸卵管性疾病%不孕癥
궁강경%복강경%수란관성질병%불잉증
hysteroscopy%laparoscopy%fallopian tubes diseases%infertility
目的：探讨宫腹腔镜联合应用在诊治输卵管阻塞性不孕的价值，以期对临床提供借鉴。方法选取2009年1月至2012年1月在广州市天河妇幼保健院诊断为输卵管阻塞性不孕患者125例，随机分为宫腹腔镜联合术组（观察组）63例和腹腔镜术组（对照组）62例，随访12～18个月，比较腹腔镜与术前经子宫输卵管碘油造影（ HSG）诊断符合率，术后两组输卵管通畅程度、再次宫内妊娠等情况，采用Logistic回归分析妊娠结局的影响因素。结果腹腔镜术与HSG诊断符合率为80．00％；观察组术后通畅率和宫内妊娠率均高于对照组（χ2＝5．383，4．992，P＜0．05），影响宫内妊娠的因素有输卵管近端梗阻、远期再通和远端积水。结论宫腹腔镜联合应用是诊治输卵管阻塞性不孕的有效方法，具有临床推广应用价值。
目的：探討宮腹腔鏡聯閤應用在診治輸卵管阻塞性不孕的價值，以期對臨床提供藉鑒。方法選取2009年1月至2012年1月在廣州市天河婦幼保健院診斷為輸卵管阻塞性不孕患者125例，隨機分為宮腹腔鏡聯閤術組（觀察組）63例和腹腔鏡術組（對照組）62例，隨訪12～18箇月，比較腹腔鏡與術前經子宮輸卵管碘油造影（ HSG）診斷符閤率，術後兩組輸卵管通暢程度、再次宮內妊娠等情況，採用Logistic迴歸分析妊娠結跼的影響因素。結果腹腔鏡術與HSG診斷符閤率為80．00％；觀察組術後通暢率和宮內妊娠率均高于對照組（χ2＝5．383，4．992，P＜0．05），影響宮內妊娠的因素有輸卵管近耑梗阻、遠期再通和遠耑積水。結論宮腹腔鏡聯閤應用是診治輸卵管阻塞性不孕的有效方法，具有臨床推廣應用價值。
목적：탐토궁복강경연합응용재진치수란관조새성불잉적개치，이기대림상제공차감。방법선취2009년1월지2012년1월재엄주시천하부유보건원진단위수란관조새성불잉환자125례，수궤분위궁복강경연합술조（관찰조）63례화복강경술조（대조조）62례，수방12～18개월，비교복강경여술전경자궁수란관전유조영（ HSG）진단부합솔，술후량조수란관통창정도、재차궁내임신등정황，채용Logistic회귀분석임신결국적영향인소。결과복강경술여HSG진단부합솔위80．00％；관찰조술후통창솔화궁내임신솔균고우대조조（χ2＝5．383，4．992，P＜0．05），영향궁내임신적인소유수란관근단경조、원기재통화원단적수。결론궁복강경연합응용시진치수란관조새성불잉적유효방법，구유림상추엄응용개치。
Objective To explore the value of hysteroscopy combined with laparoscopy in diagnosis and treatment of fallopian tube obstructive infertility , so as to provide reference for clinics .Methods From January 2009 to January 2012 125 patients were diagnosed with fallopian tube obstructive infertility in Maternal and Children ’ s Health Hospital of Tianhe District .They were randomly divided into hysteroscopy combined with laparoscopy group ( observation group , n=63 ) and laparoscopy group ( control group , n=62 ) .They were followed up for 12 to 18 months.The diagnostic accordance rate of laparoscopy and HSG , fallopian tube patency and second intrauterine pregnancy were compared , and Logistic regression analysis was used to analyze the influencing factors of pregnancy outcomes .Results The diagnostic accordance rate of laparoscopy and HSG was 80.00%.The patency rate and intrauterine pregnancy rate of the observation group were significantly higher than the control group (χ2 value was 5.383 and 4.992, respectively, both P<0.05).The reproductive outcomes were related to proximal tubal obstruction , recanalization of fallopian tube forward and distal hydrosalpinx . Conclusion Suitable hysteroscopy combined with laparoscopy is an effective method in diagnosis of fallopian tube obstructive infertility , and it is worthy of promotion in clinics .
