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腹腔镜联合宫腔镜治疗不孕症的效果和并发症发生率评价 被引量:1

Evaluation of the Effect and Complication Rate of Laparoscopy Combined with Hysteroscopy in the Treatment of Infertility
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摘要 目的:观察腹腔镜和宫腔镜联合应用治疗不孕症的临床效果和并发症发生情况。方法:将2018年1月~2019年1月来本院治疗的不孕病例(120例)作为研究对象,以随机(抽签法)方法分为观察组(n=60)和对照组(n=60)。观察组通过腹腔镜联合宫腔镜治疗,对照组单纯应用常规手术治疗,比较治疗效果。结果:①观察组(56例,占93.33%)治疗之后的受孕成功率相比对照组(45例,占75.00%)明显更高,差异符合统计学标准(P<0.05);②观察组(3例,占5.36%)治疗后,受孕成功的患者流产发生率明显比对照组(12例,占26.67%)更低,差异符合统计学标准(P<0.05);③观察组的术后卧床时间、排气时间与住院时间和对照组相比,差异无明显的统计学意义(P>0.05);④观察组(3例,占5.00%)的术后并发症发生率普遍比对照组(13例,占21.67%)更低,差异符合统计学标准(P<0.05);⑤观察组(56例,占93.33%)患者的满意度明显比对照组(44例,占73.33%)更高,差异符合统计学标准(P<0.05)。结论:通过腹腔镜联合宫腔镜的治疗可以有效提升受孕成功率,降低自然流产率和并发症的发生率,不会延长手术及术后康复时间,可提高整体满意度,是相对理想的治疗手段。 Objective:To discuss the clinical effect of combined application of laparoscopy and hysteroscopy in the treatment of infertility and its influence on complications.Methods:The infertility cases(120 cases)who came to our hospital for treatment from January 2018 to January 2019 were selected as members of the research group in this article,and they were divided into observation group(n=60)and observation group by random(lottery method).Control group(n=60).The observation group was treated with laparoscopy combined with hysteroscopy,and the control group was treated with conventional surgery alone to compare the therapeutic effects.Results:①The pregnancy success rate of the observation group(56 cases,accounting for 93.33%)after treatment was significantly higher than that of the control group(45 cases,accounting for 75.00%),and the difference met the statistical standard(P<0.05);②The observation group(3 After treatment,the incidence of miscarriage in successfully conceived patients was significantly lower than that in the control group(12 cases,accounting for 26.67%),and the difference was in line with statistical standards(P<0.05);③There was no significant difference in postoperative bed rest time and exhaust time in the observation group compared with the hospitalization time and the control group(P>0.05);④The incidence of postoperative complications in the observation group(3 cases,accounting for 5.00%)was generally lower than that in the control group(13 cases,accounting for 21.67%),and the difference met the statistical standard(P<0.05);⑤The satisfaction of patients in the observation group(56 cases,accounting for 93.33%)was significantly higher than that in the control group(44 cases,accounting for 73.33%),and the difference met the statistical standard(P<0.05).Conclusion:The treatment of laparoscopy combined with hysteroscopy can effectively improve the pregnancy success rate,reduce the spontaneous abortion rate and the incidence of complications,does not prolong the operation and postoperative reco
作者 李悦 LI Yue(Jinzhou Taihe District Hospital,Liaoning Jinzhou 121000)
出处 《中国医疗器械信息》 2022年第13期121-123,共3页 China Medical Device Information
关键词 腹腔镜 宫腔镜 不孕 并发症 流产率 受孕成功率 满意度 laparoscopy hysteroscopy infertility complications miscarriage rate conception success rate satisfaction
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