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目的:探讨宫腹腔镜联合行输卵管宫角植入术对输卵管通畅率及术后妊娠率的临床意义。方法:收集2008年1月至2010年8月本院收治的28例输卵管近端阻塞的不孕患者的临床资料,患者行宫腹腔镜联合下36侧输卵管宫角植入术,术后恢复月经后取出支架行宫腔镜下输卵管通液术,再于术后3~6月后行再次宫腔镜下输卵管通液术,评价输卵管通畅度。结果:术后第1次宫腔镜下输卵管插管通液术均显示输卵管通畅,通畅率达100%,术后3~6月再次行宫腔镜输卵管通液术,31侧完全通畅,5侧通而不畅,完全通畅率86.1%。术后随访2年,宫内妊娠20例、异位妊娠1例、未孕7例,妊娠率为71.4%。结论:宫腹腔镜下输卵管宫角植入术对输卵管近端梗阻是一种微创、安全、有效的治疗措施。
Objective: To investigate the clinical significance of hysteroscopic combined with hysteroscopic implantation for tubal patency rate and postoperative pregnancy rate. Methods: The clinical data of 28 infertile patients with proximal tubal obstruction admitted in our hospital from January 2008 to August 2010 were collected. The patients underwent hysteroscopic laparoscopic implantation of 36 cases of tubal hysterosalpingography, Hysteroscopic tubal removal of the stent line through the hysteroscopy, and then after 3 to 6 months after hysteroscopic tubal rehydration surgery, evaluation of tubal patency. Results: The first hysteroscopic tubal intubation through the hysterectomy showed tubal patency, patency rate of 100%, 3 to 6 months after hysteroscopic tubal rehydration, 31 sides completely patency, 5 sides Pass and poor, completely patency rate of 86.1%. After 2 years of follow-up, intrauterine pregnancy in 20 cases, 1 case of ectopic pregnancy, 7 cases of non-pregnancy, the pregnancy rate was 71.4%. Conclusion: Laparoscopic tubal implantation of proximal tubal obstruction is a minimally invasive, safe and effective treatment.