摘要
目的:探讨宫腔镜联合腹腔镜手术对输卵管阻塞性不孕症的临床疗效及妊娠成功率观察。方法:纳入2019年9月~2020年9月本院接收的输卵管阻塞性不孕症患者240例,以信封随机化分组模式均分为观察组和对照组,每组120例。对照组实施常规手术治疗,观察组通过宫腔镜、腹腔镜联合手术干预。分析两组的治疗相关指标、治疗效果、并发症发生率以及妊娠情况。结果:两组手术时间无明显差异(P>0.05);观察组术中出血量低于对照组,住院时间短于对照组,组间形成统计学差异(P<0.05);观察组输卵管通畅率91.67%高于对照组65.00%,组间形成统计学差异(P<0.05);观察组并发症发生率低于对照组差异有统计学意义(0,15.00%,P<0.05);观察组1年内妊娠成功率,高于对照组,差异有统计学意义(P<0.05);观察组受孕时间短于对照组,组间形成统计学差异(P<0.05)。结论:对输卵管阻塞性不孕症患者行宫腹腔镜+手术治疗,可降低并发症发生率,提升妊娠成功率。
Objective:To investigate the clinical efficacy and pregnancy success rate of hysteroscopy combined with Laparoscopy in the treatment of tubal obstruction infertility.Methods:240 cases of tubal obstructive infertility patients received in our hospital from September 2019 to September 2020 were selected and divided into experimental group and control group by envelope randomized grouping mode,120 cases in one group.The control group received conventional surgical treatment,and the experimental group received hysteroscopic and laparoscopic surgical intervention.The treatment related indexes,therapeutic effect,complication rate and pregnancy status of the two groups were analyzed.Results:There was no significant difference in operation time between the two groups(P>0.05).The intraoperative blood loss of the experimental group was lower than that of the control group,and the length of hospitalization was shorter than that of the control group,with statistical difference between the groups(P<0.05).The patency rate of tubal in the experimental group was 91.67%higher than that in the control group,65.00%,showing a statistical difference between groups(P<0.05).The complication rate of the experimental group was lower than that of the control group,and the difference was statistically significant(0,15.00%,P<0.05).The success rate of pregnancy within 1 year in the experimental group was higher than that in the control group,the difference was statistically significant(P<0.05).The conception time of the experimental group was shorter than that of the control group,and the difference between the groups was statistically significant(P<0.05).Conclusion:Laparoscopy+operation can reduce the incidence of complications and improve the success rate of pregnancy in patients with tubal obstructive infertility.
作者
林丽珠
LIN Li-zhu(Department of Obstetrics and Gynecology,Zhangpu Tianfu Hospital,Fujian Zhangzhou 363202)
出处
《中国医疗器械信息》
2023年第21期128-130,共3页
China Medical Device Information
关键词
输卵管阻塞性不孕
宫腔镜
腹腔镜
手术治疗
效果分析
tubal obstructive infertility
hysteroscope
laparoscopy
surgical treatment
effect analysis
作者简介
林丽珠,主治医师,研究方向:不孕不育。
