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目的:对比分析两种治疗方式(宫腔镜联合腹腔镜与输卵管碘油造影)治疗不孕不育症的临床疗效。方法:选择2015年1月~2016年12月在我院进行诊治的不孕不育症患者100例,所有患者均有排卵且月经规律,经输卵管相关检查被确诊为由于输卵管通而不畅或者输卵管阻塞而导致的不孕不育症,平均分为观察组和对照组,每组50例。对照组患者给予输卵管碘油造影治疗,观察组患者给予宫腔镜联合腹腔镜治疗。治疗后,比较两组患者疗效、手术时间、出血量、住院时间、术后异位妊娠、输卵管通畅率及宫内妊娠率。结果:治疗后,观察组的总有效率为98.00%(49/50),明显高于对照组的76.00%(38/50)(P<0.05);观察组的手术时间以及住院时间分别为(36.15±12.37)min、(7.23±1.39)d,均明显短于对照组的(52.36±15.43)min、(9.97±1.62)d(P<0.05);观察组的术后输卵管通畅率为94.00%(47/50),明显高于对照组的72.00%(36/50)(P<0.05);观察组的异位妊娠率为6.00%(3/50),明显低于对照组的20.00%(10/50)(P<0.05);观察组的宫内妊娠率为70.00%(35/50),明显高于对照组的28.00%(14/50)(P<0.05)。结论:与输卵管碘油造影相比,采用宫腔镜联合腹腔镜治疗不孕不育症患者能明显提高宫内妊娠率以及输卵管通畅率,且安全性更高。
Objective: To compare the clinical effects of two kinds of treatment (hysteroscopy combined with laparoscopy and tubal lipiodol angiography) in the treatment of infertility. Methods: From January 2015 to December 2016 in our hospital for diagnosis and treatment of infertility patients 100 cases, all patients have ovulation and menstrual regularity, tubal related examination was diagnosed due to fallopian tube and poor or Tubal obstruction and infertility caused by the average divided into observation group and control group, 50 cases in each group. Patients in the control group were treated with tubal lipiodol angiography, and patients in the observation group were treated with hysteroscopy combined with laparoscopy. After treatment, the curative effect, operation time, blood loss, hospitalization time, postoperative ectopic pregnancy, tubal patency rate and intrauterine pregnancy rate were compared. Results: After treatment, the total effective rate in the observation group was 98.00% (49/50), which was significantly higher than that in the control group (76.00%, 38/50) (P <0.05). The operation time and hospital stay in the observation group were 36.15 ± 12.37) min and (7.23 ± 1.39) d, respectively, which were significantly shorter than those in the control group (52.36 ± 15.43) min and (9.97 ± 1.62) d (47/50), which was significantly higher than that of the control group (72.00%, 36/50) (P <0.05). The rate of ectopic pregnancy in the observation group was 6.00% (3/50), which was significantly lower than that in the control group (20.00% The intrauterine pregnancy rate in the observation group was 70.00% (35/50), which was significantly higher than that in the control group (28.00%, 14/50) (P <0.05). Conclusion: Compared with tubal lipiodol contrast, hysteroscopy combined with laparoscopy in the treatment of infertility patients can significantly improve intrauterine pregnancy rate and tubal patency, and more secure.