CAJ | 학술논문

目的：探讨宫腔镜联合腹腔镜治疗输卵管性不孕的临床疗效。方法整群选择该院2013年3月—2014年3月收治的85例输卵管性不孕症患者随机分为观察组（43例）和对照组（42例），观察组给予宫腔镜联合腹腔镜治疗，对照组给予宫腔镜在输卵管口插管加压通液治疗，比较两组术后输卵管通畅情况及1年随访受孕率。结果术后1月两组患者输卵管维持较好的通畅状态，组间无明显差别，术后3月观察组输卵管通畅率达88.37%，远高于对照组59.52%的水平，1年后宫内妊娠率达48.84%，远高于对照组23.81%水平（P<0.05）。结论宫腔镜联合腹腔镜治疗输卵管性不孕效果显著，值得重视。
목적：탐토궁강경연합복강경치료수란관성불잉적림상료효。방법정군선택해원2013년3월—2014년3월수치적85례수란관성불잉증환자수궤분위관찰조（43례）화대조조（42례），관찰조급여궁강경연합복강경치료，대조조급여궁강경재수란관구삽관가압통액치료，비교량조술후수란관통창정황급1년수방수잉솔。결과술후1월량조환자수란관유지교호적통창상태，조간무명현차별，술후3월관찰조수란관통창솔체88.37%，원고우대조조59.52%적수평，1년후궁내임신솔체48.84%，원고우대조조23.81%수평（P<0.05）。결론궁강경연합복강경치료수란관성불잉효과현저，치득중시。
Objective To investigate the clinical effect of hysteroscopic and laparoscopic surgery on tubal infertility. Methods Eighty-five cases with tubal infertility admitted in our hospital from March 2013 to March 2014 were selected and randomly divided into the observation group (43 cases) and the control group (42 cases). Patients in the observation group were given hysteroscopic and laparoscopic surgery, while those in the control group were treated by pressed perfusion at oviduct outlet with hysteroscope. And the postoperative tubal patency rate and 1-year follow-up pregnancy rate were compared between the two groups. Results One month after surgery, both groups had good tubal patency with no significant difference between the two groups. Three months after surgery, compared with the control group, the observation group had much higher tubal patency rate (88.37%vs 59.52%) (P<0.05), and obviously higher intrauterine pregnancy rate 1 year after surgery(48.84%vs 23.81%) (P<0.05). Conclusion Hysteroscopic and laparoscopic surgery has significant effect on tubal infertility, which is worthy of attention.