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目的探讨宫腔镜与腹腔镜联合下输卵管插管疏通术治疗输卵管阻塞性不孕症的疗效。方法经输卵管造影(HSG)确诊双侧输卵管阻塞110例患者随机分成两组,应用宫腹腔镜联合下行输卵管插管疏通术60例为研究组,应用X线下输卵管导管介入术50例为对照组。术后观察两组患者输卵管通畅情况和术后2年内的宫内妊娠率。结果研究组输卵管的通畅率、术后2年宫内妊娠率均显著高于对照组。结论宫、腹腔镜联合下对输卵管阻塞患者进行插管疏通手术,在女性不孕症的诊断和治疗中具有较高的应用价值。
Objective To investigate the efficacy of hysteroscopy and laparoscopy combined with tubal catheterization in the treatment of tubal obstruction infertility. Methods One hundred and ten patients with bilateral tubal obstruction confirmed by HSG were divided into two groups at random. The patients underwent laparoscopic hysteroscopy combined with descending tubal catheterization were studied. Fifty cases of tubal catheterization under X-ray were used as control group . The tubal patency and intrauterine pregnancy rate within 2 years after operation were observed in both groups. Results The study group tubal patency rate, 2-year intrauterine pregnancy rate were significantly higher than the control group. Conclusions The combination of uterine and laparoscopy in patients with tubal obstruction catheterization to clear the operation in the diagnosis and treatment of female infertility has a high value.