摘要
目的 探讨宫-腹腔镜联合应用对输卵管阻塞不孕患者应激反应和受孕率的影响.方法 80例输卵管阻塞导致不孕患者按照数字表法随机分为两组,对照组40例,观察组40例,对照组采用宫腔镜治疗,观察组采用宫-腹腔镜联合治疗.观察两组手术时间、术中出血量、住院时间.测定术前后血清皮质醇（Cor）和hsCRP.结果 观察组手术时间、术中出血量和住院时间均少于对照组（t=3.268、4.928、2.728,均P ＜0.05）.两组术后血清Cor和hsCRP均明显升高,但是观察组较对照组更低（=3.165、2.147,均P＜0.05）.观察组宫内妊娠明显高于对照组（x2=4.78,P＜0.05）,异位妊娠明显低于对照组（x2=4.16,均P＜0.05）.结论 宫-腹腔镜联合应用可以减少输卵管不孕患者应激反应,提高受孕率.
Objective To study hysteroscopy plus laparoscopy on stress response and pregnancy in patients with tubal infertility.Methods According to the digital table,80 patients with tubal infertility were randomly divided into two groups,the control group（n =40 cases） and the observation group（n =40 cases）.The control group were operated through hysteroscopy,while the observation group were operated through hysteroscopy plus laparoscopy.Operative time,blood loss and hospital stay were observed.Serum cortisol （Cor） and hsCRP were measured before and after surgery.Results In the observation group,operative time,blood loss and hospitalization stay were less than those of the control group（t =3.268,4.928,2.728,all P 〈 0.05）.Postoperative serum Cor and hs-CRP were significantly higher,but the observation group were lower than the control group,there were a significant differences between the two groups（t =3.165,2.147,all P 〈 0.05）.In the observation group,intrauterine pregnancy was significantly higher and ectopic pregnancy was significantly lower than those of the control group（x2 =4.78,4.16,both P 〈 0.05）.Conclusion Hysteroscopy plus laparoscopy can improve pregnancy and decrease stress response in patients with tubal infertility.
出处
《中国基层医药》
CAS
2014年第8期1182-1184,共3页
Chinese Journal of Primary Medicine and Pharmacy
