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腹腔镜与宫腔镜联用诊治女性输卵管不孕症的疗效观察 被引量:10

Combined use of hysteroscopy and laparoscopy in the treatment of tubal infertility
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摘要 目的:探讨宫、腹腔镜联合用于诊治女性输卵管不孕的临床疗效。方法:分析2008年7月~2011年7月在我院治疗的输卵管不孕患者38例,随机分为两组,宫腹腔镜联合组(A组)19例,宫腔镜组(B组)19例,比较两组术后的输卵管再通率。结果:B组术中出血量和手术时间少于A组,而A组的的输卵管再通率为81.57%,高于B组68.42%,差异有统计学意义(P<0.05)。A组的宫内妊娠率为(9,47.37%),高于B组;A组异位妊娠率为(1,5.26%),低于B组,差异有统计学意义(P<0.05)。结论:宫、腹腔镜联合用于治疗输卵管性不孕的成功率高,具有良好的临床应用价值。 Objectives: To explore the clinical value of the combined use of hysteroscopy and laparoseopy in the treatment of tubal infertility. Methods: Thirty - eight patients with oviduct infertility who received treatment in our hospital from July 2008 to July 2011 were divided into 2 groups randomly. The group A contained 19 patients who were treated by hysteroscopy combined with laparoscopy. The group B contained 19 patients who were treated only by hysteroscopy. The therapeutic effects were com- pared between the two groups. Results: Group B has less bleeding volume and operation time than group A , but the rate of reca- nalization in Group A was 81.57% , significantly higher than the rate of 68.42% in group B (P 〈 0.05). Group A also has higher uterine pregnancy and less ectopic pregnancy than group B ( P 〈 0.05). Conclusion: The combined use of hysteroscopy and laparoscopy is effective in the treatment of tubal infertility. Therefore, this approach can be widely promoted in clinical prac- tice.
作者 周云保
出处 《中国性科学》 2012年第11期33-35,共3页 Chinese Journal of Human Sexuality
关键词 宫腔镜 腹腔镜 输卵管性不孕 临床疗效 Hysteroscopy Laparoscopy Tubal infertility Clinical effect
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