摘要
目的探讨宫、腹腔镜联合导丝介入治疗输卵管阻塞性不孕的效果。方法随机选取梅州市两家医院（粤东医院及梅州市人民医院）2012年3月~2014年9月收治的育龄妇女输卵管阻塞性不孕患者100例,其中研究组50例采用宫、腹腔镜联合导丝介入治疗,对照组50例采用X线下导丝介入治疗。对比和观察两组治疗后输卵管复通率及宫内妊娠情况。结果两组附加手术、复通、宫内妊娠发生率比较差异均有统计学意义（P〈0.05）。两组手术时间及出血量比较差异均无统计学意义（P〉0.05）。结论宫、腹腔镜联合导丝介入治疗输卵管阻塞性不孕具有定位更准确、安全性更高、优势互补等优点,是高效率治疗输卵管阻塞不孕的首选再通方法,能显著提高输卵管阻塞性不孕患者复通率及宫内妊娠率,值得临床推广应用。
Objective To investigate effect of hysteroscopy and laparoscopic combined with guide wire intervention in the treatment of fallopian tubal obstruction infertility. Methods 100 patients with fallopian tubal obstruction infertility in Guangdong Hospital and Meizhou People′ s Hospital from March 2012 to September 2014 were randomly selected.Hysteroscopy and laparoscopic combined with guidewire intervention treatment were used in study group（n=50）,X-ray guide wire interventional treatment was applied in control group（n=50）.The recanalization rate of fallopian tube and the intrauterine pregnancy were observed and compared between two groups after treatment. Results The incidence rate of additional surgery,re-pass,intrauterine pregnancy in two groups was compared respectively,with statistical difference（P〈0.05）.Operative time and blood loss in two groups was compared respectively,with no statistical difference（P〉0.05）.Conclusion Hysteroscopy and laparoscopic combined with guide wire intervention in the treatment of fallopian tubal obstruction infertility have advantages with more accurate positioning,higher security,complementary.It is the preferred method of fallopian tubal infertility treatment efficiency,can significantly improve recanalization rate and pregnancy rate in patients with fallopian tube obstructive infertility,is worthy of clinical promotion and application.
出处
《中国当代医药》
2015年第4期63-65,共3页
China Modern Medicine
基金
广东省梅州市科技立项课题(2014B127)
关键词
宫、腹腔镜联合
导丝
输卵管
不孕
Hysteroscopy combined with laparoscopic
Guide wire
Fallopian tube
Infertility
