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1、宫腹腔镜联合治疗输卵管性不孕症的临床分析曲晓力1贺红英1钟华1韦静曾定元2(通讯作者)(1广西医科大学第四附属医院<柳州市工人医院>妇产科广西柳州545005)(2柳州市妇幼保健医院妇产科广西柳州545001)【摘要】目的:分析宫腹腔镜联合治疗输卵管性不孕症的临床意义。方法:木研究对象选取2012年2月至2013年8月80例输卵管性不孕症住院患者,根据随机原则分成宫腔镜组和宫腹腔镜组。所有患者行输卵管插管通液手术,其中宫腔镜组患者仅在宫腔镜下实施手术,宫腹腔镜组患者在宫腹腔镜联合下实施手术。对比两组患者输卵管再通率、2年内正常妊娠率的差异。结果:宫腔镜组患者
2、术后输卵管通畅率为85.00%,2年内妊娠率为55.00%。宫腹腔镜组患者术后输卵管通畅率为100.00%,2年内妊娠率为75.00%。宫腹腔镜组输卵管再通率、2年内正常妊娠率均显著宫腔镜组,经χ2检验行统计学处理显示上述2项指标差异显著(PV0.05)。结论:宫腹腔镜联合治疗输卵管性不孕症的临床效果确切,可有效提高输卵管再通率、正常妊娠率,值得在临床推广应用。【关键词】宫腹腔镜联合治疗;输卵管性不孕症;临床效果【中图分类号】R714【文献标识码】A【文章编号】2095-1752(2016)18-0053-02Clinicalanalysisofhysteros
3、copycombinedwithlaparoscopyinthetreatmentoftubalinfertilityQuXiaoli,HeHongying,ZhongHua.TheFourthAffiliatedHospitalofGuangxiMedicalUniversity(LiuzhouWorker'sHospital),Guangxi,Liuzhou545005,China;WeiJing,ZengDingyuan(correspondingauthor).MaternalandChildHealthHospitalofLiuzhouCity,Guangxi
4、,Liuzhou545001,China,China【Abstract】ObjectiveToanalyzeLaparoscopycombinedtreatmentoftubalinfertilityclinicalsignificanee.MethodsThisstudyselectedobjectsfromFebruary2012toAugust201380casesoftubalinfertilityhospitalizedpatientsweredividedintogroupsandhysteroscopylaparoscopygroupaccordingto
5、therandomprinciple.Allpatientsunderwentsurgicalfluidthroughthefallopiantube,wherehysteroscopicsurgerypatientsonlyunderhysteroscopy,laparoscopypatientsinlaparoscopysurgeryjointly.Comparedtwogroupsofpatientswithfallopiantuberecanalizationrate,thediffereneebetweennormalpregnancytwoyears.Res
6、ultsThepostoperativehysteroscopictubalpatencyratewas85.00%ofpatients,thepregnancyratewas55.00%within2years.Patientslaparoscopygrouptubalpatencyrate100.00%,thepregnancyratewas75.00%within2years・Laparoscopygrouptubalrecanalizationrate,twoyearsofnormalpregnancyweresignificantlyhysteroscopyg
7、roup,thestatisticalX2testrowdisplayingthetwoindexesweresignificantlydifferent(P<0.05).ConclusionTheclinicaleffectoflaparoscopycombinedwithtubalinfertilityexact,caneffectivelyimprovethefallopiantuberecanalizationrate,normalpregnancy,worthyofclinicalapplication.【Keywords