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目的探讨不孕不育患者给予宫腔镜下输卵管治疗的临床疗效。方法选取该院2009年5月~2014年8月收治的因输卵管因素造成的不孕不育患者110例,随机分为对照组和观察组,每组各55例。对照组患者给予常规治疗方案,观察组患者给予宫腔镜下输卵管插管治疗,比较两组患者的临床疗效和受孕情况。结果治疗前两组患者输卵管通畅、通而不畅或一侧通畅、阻塞的比例差异均无统计学意义(P>0.05)。观察组患者治疗后总有效率明显高于对照组,治疗无效率明显低于对照组,差异均有统计学意义(P<0.01)。观察组患者受孕总数、半年内受孕例数均明显高于对照组,差异均有统计学意义(P<0.01);两组患者一年内的受孕、异位妊娠例数之间差异无统计学意义(P>0.05)。结论宫腔镜下插管输卵管的治疗效果显著,可有效提高受孕率,异位妊娠率无显著升高,值得临床推广。
Objective To investigate the clinical efficacy of hysteroscopic tubal surgery in patients with infertility. Methods 110 cases of infertility caused by fallopian tube in our hospital from May 2009 to August 2014 were randomly divided into control group and observation group with 55 cases in each group. Patients in the control group were given routine treatment. Patients in the observation group were treated with hysteroscopic tubal intubation. The clinical efficacy and pregnancy status were compared between the two groups. Results Before treatment, tubal patency, poor or unilateral patency in both groups were not statistically significant (P> 0.05). The total effective rate in observation group was significantly higher than that in control group, and the treatment inefficiency was significantly lower than that in control group (P <0.01). In the observation group, the total number of conception, the number of pregnancy within six months were significantly higher than the control group, the difference was statistically significant (P <0.01); within one year of pregnancy, the number of ectopic pregnancy cases no significant difference (P> 0.05). Conclusion Hysteroscopic tubal intubation treatment effect is significant, which can effectively improve the pregnancy rate, ectopic pregnancy rate was not significantly increased, worthy of clinical promotion.