CAJ | 학술논문

目的：探讨宫腔镜联合腹腔镜治疗输卵管阻塞导致不孕的疗效。方法将已经通过子宫输卵管碘油造影的240例不孕症已婚妇女随机分为2组：观察组和对照组，每组120例，观察组宫腔镜联合腹腔镜治疗，对照组接受宫腔镜监视下输卵管插管介入治疗，对比疗效。结果观察组不孕症患者的输卵管再通率是75.00%，对照组的输卵管再通率是49.17%，观察组的输卵管再通率高于对照组，差异有统计学意义（P ＜0.05）；观察组的宫内妊娠率是75.83%，对照组的宫内妊娠率是37.5%，观察组宫内妊娠率高于对照组，差异有统计学意义（P ＜0.05）。两组并发症发生率没有统计学意义的差异(P ＞0.05)。结论由于宫腹腔镜联合治疗输卵管阻塞性不孕具有维持、可视、视野互补的特点，它具有简便、安全、疗效确切的优点。
목적：탐토궁강경연합복강경치료수란관조새도치불잉적료효。방법장이경통과자궁수란관전유조영적240례불잉증이혼부녀수궤분위2조：관찰조화대조조，매조120례，관찰조궁강경연합복강경치료，대조조접수궁강경감시하수란관삽관개입치료，대비료효。결과관찰조불잉증환자적수란관재통솔시75.00%，대조조적수란관재통솔시49.17%，관찰조적수란관재통솔고우대조조，차이유통계학의의（P ＜0.05）；관찰조적궁내임신솔시75.83%，대조조적궁내임신솔시37.5%，관찰조궁내임신솔고우대조조，차이유통계학의의（P ＜0.05）。량조병발증발생솔몰유통계학의의적차이(P ＞0.05)。결론유우궁복강경연합치료수란관조새성불잉구유유지、가시、시야호보적특점，타구유간편、안전、료효학절적우점。
Objective To explore the effect of tube obstructive infertility treated under hysteroscopy combined with laparoscopy.Methods Totally 240 patients of tube obstructive infertility were randomly divided into two groups: observation group and control group,120 cases in each group.the observation group was treated with the surgery under hysteroscopy combined with laparoscopy,the control group was treated with tubal cannulation to clear the surgery under the guidance of hysteroscopy.After followed up for 6 to 36 months, the two groups of fallopian tube after article number, complications, make a comparison between the pregnancy rate.Results In the observation group the rate fallopian tubal recanalization was 75.00%,and its counterparts in the control group was 49.17%. The former is higher than the latter(P < 0.01).intrauterine pregnancy rate in the observation group cases was 75.83%. and its counterparts in the control group was 37.5%. The former is higher than the latter(P < 0.01).The incidence of complication was not statistically significant (P > 0.05).Conclusions due to the provisions of this method of hysteroscopy combined with laparoscopy in treatment of tubal infertility obstructive with, minimally invasive, vision ,vision complementary,It has the advantages of easy operation, safety, efficacy.