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目的:研究宫腔镜联合腹腔镜治疗输卵管性不孕的临床效果。方法:选择2014年8月~2015年6月我院收治的输卵管性不孕患者120例,根据患者的治疗术式将其平均分成两组,每组60例。其中,观察组以联合宫腹腔镜法诊治,而对照组仅给以腹腔镜进行诊治,随访和比较两组患者的治疗效果及术后妊娠状况。结果:观察组输卵管的再通率达97.39%,而对照组仅为78.57%,显著低于观察组(P<0.05)。术后随访患者2年,均不曾接受其他辅助受孕技术,观察组在随访时间内妊娠率为58.33%,而对照组为38.33%,显著低于观察组(P<0.05)。结论:相比单纯腹腔镜治疗,宫腹腔镜联合治疗输卵管性不孕的临床效果更好,值得在临床上推广。
Objective: To study the clinical effect of hysteroscopy combined with laparoscopy in the treatment of tubal infertility. Methods: From August 2014 to June 2015, 120 patients with tubal infertility admitted to our hospital were divided into two groups (60 in each group) according to the treatment of the patients. Among them, the observation group combined with hysteroscopic diagnosis and treatment, while the control group only to laparoscopic diagnosis and treatment, follow-up and comparison of the two groups of patients with treatment and postoperative pregnancy status. Results: The rate of tubal recanalization in observation group was 97.39%, while that in control group was only 78.57%, which was significantly lower than that in observation group (P <0.05). All the patients were followed up for 2 years without any other assisted conception. The pregnancy rate was 58.33% in the observation group and 38.33% in the control group, which was significantly lower than that in the observation group (P <0.05). Conclusion: Compared with simple laparoscopic treatment, hysteroscopy and laparoscopy combined treatment of tubal infertility clinical effect is better, it is worth in the clinical promotion.