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目的研究分析采用腹腔镜联合宫腔镜治疗输卵管阻塞性不孕症的临床治疗效果。方法 86例输卵管阻塞性不孕症患者,随机分为观察组和对照组,每组43例,对照组患者采取宫腔镜引导下输卵管疏通术,观察组采用腹腔镜联合宫腔镜进行手术治疗。对比观察两组患者的输卵管复通率、术后并发症发生情况以及术后妊娠情况。结果观察组在治疗后输卵管复通率显著高于对照组,差异具有统计学意义(P<0.05)。两组患者并发症发生率情况比较,差异无统计学意义(P>0.05)。观察组患者的总妊娠率显著高于对照组,差异具有统计学意义(P<0.05)。结论采用腹腔镜联合宫腔镜治疗输卵管阻塞性不孕症具有显著疗效,能够有效提高输卵管复通率,提高患者妊娠率,值得在临床中推广运用。
Objective To study the clinical effect of laparoscopic combined with hysteroscopy in the treatment of tubal obstruction infertility. Methods Totally 86 cases of tubal obstruction infertility were randomly divided into observation group and control group, with 43 cases in each group. The control group was treated by hysteroscope-guided tubal dredging. The observation group was treated by laparoscopy combined with hysteroscopy . Comparing the tubal recurrence rate, postoperative complications and postoperative pregnancy in the two groups. Results The tubal recanalization rate in the observation group was significantly higher than that in the control group after treatment, the difference was statistically significant (P <0.05). There was no significant difference in the complication rates between the two groups (P> 0.05). The total pregnancy rate in the observation group was significantly higher than that in the control group, the difference was statistically significant (P <0.05). Conclusion Laparoscopy combined with hysteroscopy in the treatment of tubal obstruction infertility has a significant effect, which can effectively improve the tubal recurrence rate and improve the pregnancy rate, it is worth to promote the use of the clinic.