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目的探讨宫腔镜下输卵管插管通液术在输卵管性不孕症治疗中的应用效果。方法 226例输卵管性不孕症患者,随机分为研究组与对照组,各113例。对照组给予常规通液治疗,研究组给予宫腔镜下输卵管插管通液术治疗。对比两组临床治疗效果。结果研究组无一例出现术后并发症,对照组术后并发症发生率为15.0%,两组比较差异具有统计学意义(P<0.05);研究组输卵管通畅率明显优于对照组(P<0.05);研究组妊娠受孕时间明显短于对照组(P<0.05);研究组术后1年妊娠率明显高于对照组(P<0.05)。结论宫腔镜下输卵管插管通液术在输卵管性不孕症治疗中有着较好的应用效果,能缩短患者受孕时间,提升妊娠率,且并发症少,安全性高,值得推广应用。
Objective To investigate the effect of hysteroscopic tubal catheterization in the treatment of tubal infertility. Methods 226 cases of tubal infertility patients were randomly divided into study group and control group, 113 cases each. The control group given conventional fluid treatment, the study group given hysteroscopic tubal catheterization treatment. Comparison of two groups of clinical treatment. Results No postoperative complications were found in the study group. The incidence of postoperative complications was 15.0% in the control group, with significant difference between the two groups (P <0.05). The tubal patency rate in the study group was significantly better than that in the control group (P < 0.05). The gestational pregnancy time in the study group was significantly shorter than that in the control group (P <0.05). The pregnancy rate in the study group at 1 year after operation was significantly higher than that in the control group (P <0.05). Conclusion Hysteroscopic tubal intubation through fluid treatment in the treatment of tubal infertility has a good effect, can shorten the time of conception, pregnancy rate, and less complications, high safety, it is worth to promote the application.