CAJ | 학술논문

目的：探讨宫腔镜、腹腔镜联合行输卵管间质部插管再通术治疗输卵管近端阻塞的疗效。方法对90例原发或继发不孕患者联合应用宫腔镜和腹腔镜对近端阻塞输卵管先经输卵管口插管通液后再行间质部插管通液术，比较手术效果。结果间质部插管通液术后输卵管完全通畅率显著高于输卵管口通液术（P<0.05），而完全不通率显著低于输卵管口通液术（P<0.05）。结论宫腔镜、腹腔镜联合下，作输卵管间质部插管再通术对输卵管近端阻塞的患者有较好的疗效，其输卵管的通畅度较输卵管口通液术有明显改善。
목적：탐토궁강경、복강경연합행수란관간질부삽관재통술치료수란관근단조새적료효。방법대90례원발혹계발불잉환자연합응용궁강경화복강경대근단조새수란관선경수란관구삽관통액후재행간질부삽관통액술，비교수술효과。결과간질부삽관통액술후수란관완전통창솔현저고우수란관구통액술（P<0.05），이완전불통솔현저저우수란관구통액술（P<0.05）。결론궁강경、복강경연합하，작수란관간질부삽관재통술대수란관근단조새적환자유교호적료효，기수란관적통창도교수란관구통액술유명현개선。
Objective To study the therapeutic effects of treating proximal tubal obstruction with the combining of hysteroscope and laparoscope for fallopian tube recanalization intubation in 90 cases. Methods Between October 2011-October 2011 in Changsha City Hospital of Maternal and Child Health Care 90 cases of patients with primary or secondary infertility were treated with the combination of hysteroscopy and laparoscopic surgery for the blocked fallopian tube after tubal liquid intubation followed by intramural portion intubation. Results Tne successful rate of intubation through interstitial part of Fallopian tube is significantly higher than through the opening uterine tube(P<0.05),and completely blocked rate was significantly lower(P<0.05). Conclusion The combining of hysteroscopy and laparoscopy for fallopian tube recanalization intubation for treatment of proximal tubal obstruction has more satisfactory curative effect than intubation through the opening uterine tube.