宫腔镜下输卵管插管通液术治疗输卵管阻塞性不孕的临床效果
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摘要
目的观察宫腔镜下输卵管插管通液术治疗输卵管阻塞性不孕的临床效果。方法选择2016年9月至2017年8月本院收治的输卵管阻塞性不孕患者118例作为研究对象,随机分为两组各59例。对照组接受常规输卵管通液术治疗,观察组接受宫腔镜下输卵管插管通液术治疗。观察两组治疗效果、复发率、妊娠情况、并发症发生情况及治疗满意度。结果观察组输卵管畅通率、妊娠率、满意度高于对照组,差异有统计学意义(P<0.05);观察组受孕时间少于对照组,差异有统计学意义(P<0.05);观察组复发率、并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论宫腔镜下输卵管插管通液术治疗输卵管阻塞性不孕有助于提升患者输卵管畅通率与妊娠成功率,术后并发症发生率、疾病复发率较低,利于提升患者治疗满意度。
Objective To observe the clinical effects of hysteroscopic tubal catheterization and hydrotubation in treatment of fallopian tube obstructive infertility.Methods A total of 118 patients with fallopian tube obstructive infertility treated in the hospital from September 2016 to August 2017 were selected and divided into two groups randomly,with 59 cases in each group.The control group was given routine tubal hydrotubation,while the observation group was treated with hysteroscopic tubal catheterization and hydrotubation.The curative effects,recurrence rate,pregnancy conditions,complications,treatment satisfaction in the two groups were observed.Results The rate of tubal patency,pregnancy rate and satisfaction in observation group were higher than those in the control group(P<0.05).The time to pregnancy in observation group was less than that in the control group(P<0.05).The recurrence rate and incidence of complications in observation group were lower than those in the control group(P<0.05).Conclusion Hysteroscopic tubal catheterization and hydrotubation can increase the rate of tubal patency and success rate of pregnancy,decrease the incidence of postoperative complications and recurrence rate,improve treatment satisfaction of patients with fallopian tube obstructive infertility.
Objective To observe the clinical effects of hysteroscopic tubal catheterization and hydrotubation in treatment of fallopian tube obstructive infertility.Methods A total of 118 patients with fallopian tube obstructive infertility treated in the hospital from September 2016 to August 2017 were selected and divided into two groups randomly,with 59 cases in each group.The control group was given routine tubal hydrotubation,while the observation group was treated with hysteroscopic tubal catheterization and hydrotubation.The curative effects,recurrence rate,pregnancy conditions,complications,treatment satisfaction in the two groups were observed.Results The rate of tubal patency,pregnancy rate and satisfaction in observation group were higher than those in the control group(P<0.05).The time to pregnancy in observation group was less than that in the control group(P<0.05).The recurrence rate and incidence of complications in observation group were lower than those in the control group(P<0.05).Conclusion Hysteroscopic tubal catheterization and hydrotubation can increase the rate of tubal patency and success rate of pregnancy,decrease the incidence of postoperative complications and recurrence rate,improve treatment satisfaction of patients with fallopian tube obstructive infertility.
引文
[1]白玮,吕爱霞,马林秀,等.输卵管阻塞性不孕症介入再通术后通畅率影响因素的Logistic回归分析[J].中国妇幼保健,2017,32(3):557-559.
[2]朱慧莉,黄薇.输卵管性不孕的流行病学及病因[J].国际生殖健康/计划生育杂志,2016,35(3):212-216.
[3]陈海林,张春莲.观察宫腔镜下输卵管插管疏通术治疗输卵管堵塞的临床效果[J].检验医学与临床,2017,14(z1):39-41.
[4]陈丽融,刘常燕,李莹,等.宫腹腔镜联合治疗输卵管阻塞性不孕症的疗效及在不同年龄及阻塞类型中疗效差异[J].现代生物医学进展,2017,17(32):6340-6344.
[5]钟沛文,张四友,朱敏珊.宫腔镜、腹腔镜治疗输卵管性不孕症的效果及对妊娠结局的影响[J].中国妇幼保健,2017,32(16):3943-3945.
[6]王雅楠,程倩倩,王玉华,等.宫腹腔镜联合RF导丝治疗输卵管阻塞性不孕症98例分析[J].国际生殖健康/计划生育杂志,2017,36(2):103-106.
[7]聂巧珍,郝雷,李鹏.体外高频热疗、音频电疗联合中药灌肠治疗输卵管阻塞性不孕临床疗效观察[J].内蒙古医科大学学报,2017,39(6):520-523.
[8]张琼,周一辰,孔珏莹.补肾活血通络方联合宫腹腔镜通液术治疗血瘀型输卵管性不孕的临床观察[J].上海中医药杂志,2016,50(6):64-66.
[9]李文香,安新涛,焦守凤,等.宫腔镜下输卵管插管通液治疗不孕不育的临床疗效[J].中国性科学,2016,25(9):110-112.
[10]侯红红,李淑女,魏伟.宫腔镜插管术结合深部热疗对输卵管阻塞性不孕症患者血清IL-6、TNF-α的影响[J].现代中西医结合杂志,2016,25(26):2899-2901.
[11]陶雪峰,侯俊霞,崔世红.宫腔镜下输卵管插管通液术在输卵管阻塞性不孕患者治疗中的优势[J].中国临床研究,2016,29(1):92-94.
[12]陈俊,侯海燕,董渠龙,等.腹腔镜监测下宫腔镜输卵管插管术治疗输卵管近端梗阻的疗效分析[J].国际妇产科学杂志,2016,43(3):263-266.
[2]朱慧莉,黄薇.输卵管性不孕的流行病学及病因[J].国际生殖健康/计划生育杂志,2016,35(3):212-216.
[3]陈海林,张春莲.观察宫腔镜下输卵管插管疏通术治疗输卵管堵塞的临床效果[J].检验医学与临床,2017,14(z1):39-41.
[4]陈丽融,刘常燕,李莹,等.宫腹腔镜联合治疗输卵管阻塞性不孕症的疗效及在不同年龄及阻塞类型中疗效差异[J].现代生物医学进展,2017,17(32):6340-6344.
[5]钟沛文,张四友,朱敏珊.宫腔镜、腹腔镜治疗输卵管性不孕症的效果及对妊娠结局的影响[J].中国妇幼保健,2017,32(16):3943-3945.
[6]王雅楠,程倩倩,王玉华,等.宫腹腔镜联合RF导丝治疗输卵管阻塞性不孕症98例分析[J].国际生殖健康/计划生育杂志,2017,36(2):103-106.
[7]聂巧珍,郝雷,李鹏.体外高频热疗、音频电疗联合中药灌肠治疗输卵管阻塞性不孕临床疗效观察[J].内蒙古医科大学学报,2017,39(6):520-523.
[8]张琼,周一辰,孔珏莹.补肾活血通络方联合宫腹腔镜通液术治疗血瘀型输卵管性不孕的临床观察[J].上海中医药杂志,2016,50(6):64-66.
[9]李文香,安新涛,焦守凤,等.宫腔镜下输卵管插管通液治疗不孕不育的临床疗效[J].中国性科学,2016,25(9):110-112.
[10]侯红红,李淑女,魏伟.宫腔镜插管术结合深部热疗对输卵管阻塞性不孕症患者血清IL-6、TNF-α的影响[J].现代中西医结合杂志,2016,25(26):2899-2901.
[11]陶雪峰,侯俊霞,崔世红.宫腔镜下输卵管插管通液术在输卵管阻塞性不孕患者治疗中的优势[J].中国临床研究,2016,29(1):92-94.
[12]陈俊,侯海燕,董渠龙,等.腹腔镜监测下宫腔镜输卵管插管术治疗输卵管近端梗阻的疗效分析[J].国际妇产科学杂志,2016,43(3):263-266.