摘要
目的探讨宫腹腔镜联合应用治疗不孕不育症患者的临床效果。方法随机选取2015年1月~2018年3月梧州市人民医院治疗的156例不孕不育症患者,根据患者的治疗方式及治疗意愿进行分组,每组各78例。联合组采用宫腹腔镜联合手术治疗,单一组采用腹腔镜手术治疗。分析与比较两组患者手术操作时长、术中出血量、住院时间、术后输卵管再通率、术后1年宫内妊娠率及分娩情况。结果两组手术操作时长、术中出血量、住院时间比较,差异无统计学意义(P> 0.05);联合组术后输卵管再通率、术后1年宫内妊娠率高于单一组,差异有统计学意义(P <0.05);联合组剖宫产及人工助产率低于单一组,阴道分娩率高于单一组,差异有统计学意义(P <0.05)。结论宫腹腔镜联合治疗不孕不育症临床效果显著,能够有效提高术后输卵管再通率、宫内妊娠率及阴道分娩率,降低人工助产率,对改善妊娠结局有积极的意义。
Objective To investigate the treatment effect of hysteroscopy combined with laparoscope in infertility patients. Methods From January 2015 to March 2018, 156 cases of infertility patients admitted to Wuzhou People′s Hospital were randomly selected and grouped according to the treatment methods and patients′ treatment intention, 78 cases in each group. Hysteroscopy combined with laparoscopy exploratory surgery was applied in combined group, laparoscopy surgery alone was applied of single group. Duration of operation, intraoperative blood loss, hospital stays, postoperative tubal recanalization rate, intrauterine pregnancy rate 1 year after surgery and delivery situation of the two groups were analyzed and compared. Results There was no statistically significant difference in duration of operation, intraoperative blood loss and hospital stays between the two groups (P > 0.05). Postoperative tubal recanalization rate and intrauterine pregnancy rate 1 year after surgery in combined group were higher than those in single group, the differences were statistically significant (P < 0.05). The rate of caesarean section and artificial midwifery in combined group was lower than that in single group, the vaginal delivery rate in combined group was higher than that in single group, the differences were statistically significant (P < 0.05). Conclusion The clinical effect of hysteroscopy combined with laparoscope treatment for infertility is significant. It can effectively improve the postoperative tubal recanalization rate and intrauterine pregnancy rate, and can conducive to improve the vaginal delivery rate, meanwhile reduce the artificial midwifery rate, it has a positive significance to improve the pregnancy outcome.
作者
钟柏冰
ZHONG Baibing(Department of Gynecology,Wuzhou People′s Hospital,Guangxi Zhuang Autonomous Region,Wuzhou 543000,China)
出处
《中国医药导报》
CAS
2019年第26期93-95,99,共4页
China Medical Herald
基金
广西医药卫生计划科研项目（Z20180096）
关键词
不孕不育
宫腹腔镜
联合手术
输卵管再通率
宫内妊娠
阴道分娩
Infertility
Hysteroscopy and Laparoscope
Combined surgery
Rate of fallopian tube recanalization
Intrauterine pregnancy
Vaginal delivery
