宫腔镜联合腹腔镜与输卵管碘油造影治疗不孕不育症的临床疗效比较

目的:对比分析两种治疗方式(宫腔镜联合腹腔镜与输卵管碘油造影)治疗不孕不育症的临床疗效。方法:选择2015年1月~2016年12月在我院进行诊治的不孕不育症患者100例,所有患者均有排卵且月经规律,经输卵管相关检查被确诊为由于输卵管通而不畅或者输卵管阻塞而导致的不孕不育症,平均分为观察组和对照组,每组50例。对照组患者给予输卵管碘油造影治疗,观察组患者给予宫腔镜联合腹腔镜治疗。治疗后,比较两组患者疗效、手术时间、出血量、住院时间、术后异位妊娠、输卵管通畅率及宫内妊娠率。结果:治疗后,观察组的总有效率为98.00%(49/50),明显高于对照组的76.00%(38/50)(P0.05);观察组的手术时间以及住院时间分别为(36.15±12.37)min、(7.23±1.39)d,均明显短于对照组的(52.36±15.43)min、(9.97±1.62)d(P0.05);观察组的术后输卵管通畅率为94.00%(47/50),明显高于对照组的72.00%(36/50)(P0.05);观察组的异位妊娠率为6.00%(3/50),明显低于对照组的20.00%(10/50)(P0.05);观察组的宫内妊娠率为70.00%(35/50),明显高于对照组的28.00%(14/50)(P0.05)。结论:与输卵管碘油造影相比,采用宫腔镜联合腹腔镜治疗不孕不育症患者能明显提高宫内妊娠率以及输卵管通畅率,且安全性更高。

Comparison of the Clinical Efficacy of Hysteroscopy Combined with Laparoscopy and Hysterosalpingography in the Treatment of Infertility

ABSTRACT Objective: To compare the clinical efficacy of hysteroscopy combined with laparoscopy and hysterosalpingography in the treatment of infertility. Methods: 100 cases of patients with infertility who were treated in our hospital from January 2015 to Decem- ber 2016 were selected and divided into two groups according to the difference of treatment, the observation group was treated with hys- teroscopy combined with laparoscopy, and the control group was treated with hysterosalpingography. The curative effect, intraoperative blood loss, operative time, length of stay, postoperative patency rate, ectopic pregnancy rate and intrauterine pregnancy rate were com- pared between two groups. Results: After treatment, the effective rate of observation group was 98.00%(49/50), which was significantly higher than that of the control group[76.00%(38/50)](P<0.05); the operation time and hospital stay of observation group were (36.15±12.37)min, (7.23±1.39)d, which were significantly lower than those of the control group[(52.36±15.43)min, (9.97±1.62)d](P<0.05); the postoperative patency rate of observation group was 94.00%(47/50), which was significantly higher than that of the control group[72.00%(36/50)](P<0.05); the ectopic pregnancy rate of observation group was 6.00%(3/50), which was significantly higher than that of the control group[20.00%(10/50)](P<0.05); the intrauterine pregnancy rate of observation group was 6.00%(3/50), which was significant- ly higher than that of the control group[28.00%(14/50)](P<0.05). Conclusion: Compared with the hysterosalpingography, hysteroscopy combined with laparoscopycan could more significantly improve the rate of intrauterine pregnancy and tubal patency rate with higher safety.