论文部分内容阅读
目的:探讨宫、腹腔镜手术在治疗不孕症的临床价值。方法:收集2012年3月~2013年12月在该院收治的1 029例不孕症患者,按入院的顺序随机分为两组:对照组504例和观察组525例。结果:对照组444例接受随访,观察组443例接受随访,随访时间1~24个月,两组的随访率分别为88.10%和84.38%。两组中的子宫内膜息肉、子宫肌瘤和纵隔子宫患者的术后妊娠情况相当,差异无统计学意义(P>0.05);与对照组相比,观察组的盆腔粘连合并慢性输卵管炎、多囊卵巢综合症、盆腔粘连、子宫内膜异位症和宫腔粘连等患者的术后妊娠情况较好,差异有统计学意义(P<0.05)。结论:宫腔镜联合腹腔镜在不孕症治疗方面可相互吸收优点,克服缺陷,提高妊娠效果,是治疗不孕症最为有效的治疗方法。
Objective: To investigate the clinical value of uterine and laparoscopic surgery in the treatment of infertility. Methods: A total of 1 029 infertility patients who were admitted to the hospital from March 2012 to December 2013 were randomly divided into two groups according to the sequence of admission: 504 in control group and 525 in observation group. Results: 444 patients in the control group were followed up, and 443 patients in the observation group were followed up for 1 ~ 24 months. The follow-up rates were 88.10% and 84.38% in both groups. There was no significant difference in postoperative pregnancy between endometrial polyps, uterine fibroids and mediastinum in both groups (P> 0.05). Compared with the control group, pelvic adhesions in the observation group were associated with chronic salpingitis, Patients with polycystic ovary syndrome, pelvic adhesions, endometriosis and intrauterine adhesions had better postoperative pregnancy outcomes (P <0.05). Conclusion: Hysteroscopy combined with laparoscopy in the treatment of infertility can absorb each other advantages to overcome defects and improve pregnancy effect, is the most effective treatment of infertility treatment.