宫腹腔镜联合治疗输卵管性不孕症的临床分析

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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