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目的探讨宫腔镜下输卵管插管疏通术治疗输卵管堵塞患者的临床效果。方法选取2014年4月至2015年4月辽宁省黑山县妇幼保健院收治的130例输卵管堵塞患者为研究对象,根据入院序号进行随机分组,分为观察组(70例)和对照组(60例)。观察组患者采用宫腔镜下输卵管插管疏通术进行治疗,对照组患者给予药物治疗,比较两组患者输卵管疏通效果、并发症发生率以及妊娠情况。结果治疗后,观察组患者疏通率为97.1%,对照组患者疏通率为70.0%,观察组患者总疏通率显著高于对照组,差异有统计学意义(P<0.05);观察组患者的并发症发生率为2.9%,对照组患者并发症发生率为21.7%,观察组患者术后并发生发生率明显比低于对照组,差异有统计学意义(P<0.05);术后1年,观察组患者妊娠率为91.4%,对照组患者妊娠率为56.7%,观察组患者妊娠率显著高于对照组,差异有统计学意义(P<0.05)。结论对于输卵管堵塞患者,采用宫腔镜下输卵管插管疏通术可取得较高疗效,不仅可以减少并发症发生率,还能有效提高患者疏通率,从而提高妊娠率,安全性较高。
Objective To investigate the clinical effect of hysteroscopic tubal catheterization in the treatment of tubal blockage. Methods A total of 130 cases of tubal blockage treated in Heishan Maternal and Child Health Care Hospital of Liaoning Province from April 2014 to April 2015 were selected and randomly divided into observation group (70 cases) and control group (60 cases ). Patients in the observation group were treated with hysteroscopic tubal catheterization, patients in the control group were given drug therapy, tubal dredging effect, complication rate and pregnancy were compared between the two groups. Results After treatment, the clearness rate of the observation group was 97.1%, the control group was 70.0%. The total dredge rate of the observation group was significantly higher than that of the control group (P <0.05) The morbidity rate was 2.9% in the control group and 21.7% in the control group. The incidence of postoperative morbidity in the observation group was significantly lower than that in the control group (P <0.05) The pregnancy rate was 91.4% in the observation group and 56.7% in the control group. The pregnancy rate in the observation group was significantly higher than that in the control group (P <0.05). Conclusion For patients with tubal blockage, hysteroscopic tubal catheterization can achieve a higher efficacy, not only can reduce the incidence of complications, but also effectively improve the patient dredge rate, thereby increasing the pregnancy rate and higher safety.