中国现代医生
中國現代醫生
중국현대의생
CHINA MODERN DOCTOR
2015年
22期
51-53
,共3页
宫腔镜%腹腔镜%输卵管性不孕
宮腔鏡%腹腔鏡%輸卵管性不孕
궁강경%복강경%수란관성불잉
Hysteroscopy%Laparoscopy%Oviduct infertility
目的：探讨宫腔镜联合腹腔镜治疗输卵管性不孕的效果。方法将我院妇产科2011年1月~2013年3月收治的120例输卵管性不孕患者随机分为对照组和观察组，对照组60例患者予宫腔镜下插管通液术进行治疗，观察组60例患者予宫腔镜联合腹腔镜治疗，对比两组患者的治疗效果与并发症发生率。结果两组患者在手术时间、术中出血量及住院时间方面差异无统计学意义(P>0.05)。观察组的输卵管复通率为88.33%，妊娠率为53.33%，对照组的输卵管复通率为58.33%，妊娠率为26.27%，观察组的输卵管复通率及妊娠率明显高于对照组，差异具有统计学意义(P<0.05)。观察组的并发症发生率为1.67%，对照组的并发症发生率为10.00%，观察组的并发症发生率明显低于对照组，差异具有统计学意义(P<0.05)。结论对输卵管性不孕患者采用宫腔镜联合腹腔镜治疗能够有效提高输卵管复通率和妊娠率，降低并发症发生率，值得临床推广应用。
目的：探討宮腔鏡聯閤腹腔鏡治療輸卵管性不孕的效果。方法將我院婦產科2011年1月~2013年3月收治的120例輸卵管性不孕患者隨機分為對照組和觀察組，對照組60例患者予宮腔鏡下插管通液術進行治療，觀察組60例患者予宮腔鏡聯閤腹腔鏡治療，對比兩組患者的治療效果與併髮癥髮生率。結果兩組患者在手術時間、術中齣血量及住院時間方麵差異無統計學意義(P>0.05)。觀察組的輸卵管複通率為88.33%，妊娠率為53.33%，對照組的輸卵管複通率為58.33%，妊娠率為26.27%，觀察組的輸卵管複通率及妊娠率明顯高于對照組，差異具有統計學意義(P<0.05)。觀察組的併髮癥髮生率為1.67%，對照組的併髮癥髮生率為10.00%，觀察組的併髮癥髮生率明顯低于對照組，差異具有統計學意義(P<0.05)。結論對輸卵管性不孕患者採用宮腔鏡聯閤腹腔鏡治療能夠有效提高輸卵管複通率和妊娠率，降低併髮癥髮生率，值得臨床推廣應用。
목적：탐토궁강경연합복강경치료수란관성불잉적효과。방법장아원부산과2011년1월~2013년3월수치적120례수란관성불잉환자수궤분위대조조화관찰조，대조조60례환자여궁강경하삽관통액술진행치료，관찰조60례환자여궁강경연합복강경치료，대비량조환자적치료효과여병발증발생솔。결과량조환자재수술시간、술중출혈량급주원시간방면차이무통계학의의(P>0.05)。관찰조적수란관복통솔위88.33%，임신솔위53.33%，대조조적수란관복통솔위58.33%，임신솔위26.27%，관찰조적수란관복통솔급임신솔명현고우대조조，차이구유통계학의의(P<0.05)。관찰조적병발증발생솔위1.67%，대조조적병발증발생솔위10.00%，관찰조적병발증발생솔명현저우대조조，차이구유통계학의의(P<0.05)。결론대수란관성불잉환자채용궁강경연합복강경치료능구유효제고수란관복통솔화임신솔，강저병발증발생솔，치득림상추엄응용。
Objective To analyze and discuss the effects of hysteroscopy combined with laparoscopy in the treatment of oviduct infertility. Methods A total of 120 patients with oviduct infertility treated in the gynecology and obstetrics de-partment of our hospital from January 2011 to March 2013 were randomly divided into the control group and the obser-vation group, with 60 patients in each group. The control group was given intubation and hydrotubation treatment under hysteroscopy and the observation group was given hysteroscopy combined with laparoscopy treatment. The treatment ef-fects and incidences of complications of the two groups were compared. Results The two groups were not significantly different in surgical time, intraoperative bleeding amount and length of hospital stay (P>0.05). The oviduct recanalization rate and pregnancy rate of the observation group were 88.33% and 53.33% respectively and those of the control group were 58.33% and 26.27% respectively. The oviduct recanalization rate and pregnancy rate of the observation group were significantly higher than those of the control group, with statistically significant differences (P<0.05). The incidence of complications of the observation group was 1.67% and that of the control group was 10.00%. The incidence of com-plications of the observation group was significantly lower than that of the control group, with statistically significant difference (P<0.05). Conclusion In the treatment of patients with oviduct infertility, hysteroscopy combined with la-paroscopy can effectively improve the oviduct recanalization rate and pregnancy rate and reduce the incidence of com-plications, thereby worthy of clinical promotion and application.
