摘要
目的探讨宫腔镜下输卵管插管通液治疗不孕不育的临床效果及对患者治疗依从性的影响。方法回顾性选取2017年1月至2020年1月本院收治的92例不孕不育患者,依据治疗方法将其分为宫腔镜下输卵管插管通液治疗组(宫腔镜组,46例)和常规化输卵管插管通液治疗组(常规化组,46例)。比较两组的输卵管情况、治疗依从性及妊娠情况。结果手术后,宫腔镜组的输卵管通畅率高于常规化组,通而不畅率低于常规化组,差异具有统计学意义(P<0.05)。宫腔镜组的治疗依从率为86.96%,高于常规化组的60.87%,差异具有统计学意义(P<0.05)。宫腔镜组的宫内妊娠率、足月分娩率均高于常规化组,差异具有统计学意义(P<0.05);两组的输卵管妊娠率比较,差异无统计学意义(P>0.05)。结论宫腔镜下输卵管插管通液治疗不孕不育的临床效果显著,可提高患者的输卵管通畅率及治疗依从性,进而改善妊娠结局。
Objective To explore the clinical effect of hysteroscopic tubal catheterization and hydrotubation in the treatment of infertility and its influence on patients'treatment compliance.Methods A total of 92 patients with infertility who were admitted in our hospital from January 2017 to January 2020 were retrospectively selected and divided into hysteroscopic tubal catheterization and hydrotubation treatment group(hysteroscopy group,46 cases)and routine tubal catheterization and hydrotubation treatment group(routine group,46 cases).The tubal condition,treatment compliance and pregnancy of the two groups were compared.Results After operation,the patency rate of tube in the hysteroscopy group was higher than that in the routine group,and the incomplete patency rate was lower than that in the routine group,and the differences were statistically significant(P<0.05).The treatment compliance rate in the hysteroscopy group was 86.96%,which was higher than 60.87%in the routine group,and the difference was statistically significant(P<0.05).The intrauterine pregnancy rate and term delivery rate in the hysteroscopy group were higher than those in the routine group,and the differences were statistically significant(P<0.05);there was no significant difference in the tubal pregnancy rate between the two groups(P>0.05).Conclusion Hysteroscopic tubal catheterization and hydrotubation in the treatment of infertility has a significant clinical effect,it can improve the patients'tubal patency rate and treatment compliance,and then improve the pregnancy outcome.
作者
郭锡俊
GUO Xijun(the Second People's Hospital of Xinxiang,Xinxiang 453000,China)
出处
《临床医学研究与实践》
2022年第8期145-147,共3页
Clinical Research and Practice
关键词
不孕不育
宫腔镜
输卵管插管通液
infertility
hysteroscopy
tubal catheterization and hydrotubation
