当代医学
噹代醫學
당대의학
CHINA CONTEMPORARY MEDICINE
2015年
19期
85-86
,共2页
腹腔镜%宫腔镜%输卵管阻塞性不孕%治疗效果
腹腔鏡%宮腔鏡%輸卵管阻塞性不孕%治療效果
복강경%궁강경%수란관조새성불잉%치료효과
Laparoscopy%Hysteroscopy%Tubal obstruction infertility%Treatment
目的：观察分析腹腔镜联合宫腔镜治疗输卵管阻塞性不孕的临床效果。方法选取输卵管阻塞性不孕患者100例作为研究对象，所有患者随机均分为观察组和对照组（n=50），对照组患者采取宫腔镜检查及宫腔镜下输卵管插管通液术进行治疗，观察组患者采用腹腔镜与宫腔镜联合治疗的方式，观察对比2组的临床治疗效果。结果观察组患者治疗后的输卵管单侧、双侧阻塞疏通率和治疗后1～2年妊娠率分别为24.00%、44.00%、58.00%，均显著高于对照组患者12.00%、24.00%、34.00%，2组间各项指标比较差异均具有统计学意义（P＜0.05）。结论腹腔镜联合宫腔镜可以实现对输卵管阻塞性不孕患者的有效诊治，提高临床输卵管单双侧阻塞疏通率，提高治疗后患者的妊娠率，患者治疗满意度较高，具有临床推广应用的价值。
目的：觀察分析腹腔鏡聯閤宮腔鏡治療輸卵管阻塞性不孕的臨床效果。方法選取輸卵管阻塞性不孕患者100例作為研究對象，所有患者隨機均分為觀察組和對照組（n=50），對照組患者採取宮腔鏡檢查及宮腔鏡下輸卵管插管通液術進行治療，觀察組患者採用腹腔鏡與宮腔鏡聯閤治療的方式，觀察對比2組的臨床治療效果。結果觀察組患者治療後的輸卵管單側、雙側阻塞疏通率和治療後1～2年妊娠率分彆為24.00%、44.00%、58.00%，均顯著高于對照組患者12.00%、24.00%、34.00%，2組間各項指標比較差異均具有統計學意義（P＜0.05）。結論腹腔鏡聯閤宮腔鏡可以實現對輸卵管阻塞性不孕患者的有效診治，提高臨床輸卵管單雙側阻塞疏通率，提高治療後患者的妊娠率，患者治療滿意度較高，具有臨床推廣應用的價值。
목적：관찰분석복강경연합궁강경치료수란관조새성불잉적림상효과。방법선취수란관조새성불잉환자100례작위연구대상，소유환자수궤균분위관찰조화대조조（n=50），대조조환자채취궁강경검사급궁강경하수란관삽관통액술진행치료，관찰조환자채용복강경여궁강경연합치료적방식，관찰대비2조적림상치료효과。결과관찰조환자치료후적수란관단측、쌍측조새소통솔화치료후1～2년임신솔분별위24.00%、44.00%、58.00%，균현저고우대조조환자12.00%、24.00%、34.00%，2조간각항지표비교차이균구유통계학의의（P＜0.05）。결론복강경연합궁강경가이실현대수란관조새성불잉환자적유효진치，제고림상수란관단쌍측조새소통솔，제고치료후환자적임신솔，환자치료만의도교고，구유림상추엄응용적개치。
Objective To observe and analyze the clinical effect of laparoscopy combined with hysteroscopy tubal obstruction infertility evaluate its efifcacy and explore its clinical value. Methods Selected 100 patients with obstructive tubal infertility for the study, all patients were randomly divided into two treatment groups, were named in the observation group and the control group, control group of 50 patients taking the next hysteroscopy and hysteroscopic tubal cannulation through lfuid technique for treatment, observation group 50 cases were treated with laparoscopy and hysteroscopy combined treatment approach, comparative clinical observation of the two treatment groups effect, observed indicators for tubal unilateral, bilateral occlusion therapy dredge rate and pregnancy rate after treatment for one to two years in patients. Results Patients in the two groups after treatment of fallopian observe hemodynamic changes in unilateral and bilateral occlusion of 12 years after the dredging of the treatment rate and pregnancy rate were 24.00%and 44.00%, 58.00%were signiifcantly higher than those in the control group patients 12.00%, 24.00%and 34.00%, the indexes were compared between the two groups has had statistical signiifcance(P<0.05). Conclusion Combined laparoscopic tubal obstruction hysteroscopy can be achieved on the effective diagnosis and treatment of infertility patients, improve clinical bilateral tubal obstruction single dredge rate, and improve the chances of pregnancy after treatment, a higher pregnancy rate after treatment, patient treatment satisfaction higher, with the value of clinical applications.
