宫腔镜下输卵管插管通液术治疗不孕症疗效评价
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摘要
目的评价宫腔镜下输卵管插管通液术治疗不孕症的疗效。方法选择2016年2月-2017年10月阳谷县人民医院收治的输卵管堵塞不孕症患者84例,随机分为对照组和观察组各42例,分别疏通80、81条输卵管。比较两组疏通情况、妊娠情况、并发症发生情况。结果观察组的整体疗效优于对照组,差异有统计学意义(P<0.05),两组总通畅率差异无统计学意义(P>0.05)。观察组治疗12个月内妊娠率高于对照组,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不孕症疗效优于普通的输卵管通液术,可以提升疏通效果,也能够提升妊娠率,降低并发症发生风险。
Objective To evaluate the efficacy of hysteroscopic tubal catheterization for infertility. Methods 84 cases of tubal obstruction infertility were selected from February 2016 to October 2017 in Yanggu Country People's Hospital,and randomly divided into control group and observation group with 42 cases in each group. 80 and 81 tubals were dredged respectively. The dredging,pregnancy and complications were compared between the two groups. Results The overall curative effect of the observation group was better than that of the control group, the difference was statistically significant(P<0.05), and there was no significant difference in the total patency rate between the two groups(P>0.05). The pregnancy rate in 12 months in the observation group was higher than that in the control group, and the incidence of complications was lower than that in the control group, the differences were statistically significant(P<0.05). Conclusion Hysteroscopic tubal intubation is superior to conventional tubal intubation in the treatment of infertility. It can improve the dredging effect, increase the pregnancy rate and reduce the risk of complications.
Objective To evaluate the efficacy of hysteroscopic tubal catheterization for infertility. Methods 84 cases of tubal obstruction infertility were selected from February 2016 to October 2017 in Yanggu Country People's Hospital,and randomly divided into control group and observation group with 42 cases in each group. 80 and 81 tubals were dredged respectively. The dredging,pregnancy and complications were compared between the two groups. Results The overall curative effect of the observation group was better than that of the control group, the difference was statistically significant(P<0.05), and there was no significant difference in the total patency rate between the two groups(P>0.05). The pregnancy rate in 12 months in the observation group was higher than that in the control group, and the incidence of complications was lower than that in the control group, the differences were statistically significant(P<0.05). Conclusion Hysteroscopic tubal intubation is superior to conventional tubal intubation in the treatment of infertility. It can improve the dredging effect, increase the pregnancy rate and reduce the risk of complications.
引文
[1]乐杰.妇产科学[M].第8版.北京:人民卫生出版社,2009:351.
[2]刘亚男.输卵管性不孕症应用宫腔镜下插管通液术的疗效分析[J].中国现代药物应用,2018,12(6):63-64.
[3]要红叶,杨广祥,刘津华,等.输卵管阻塞性不孕经介入治疗后再通效果的影响因素[J].包头医学院学报,2017,33(3):3-5.
[4]柴瑞瑞.宫腹腔镜下输卵管插管通液术对输卵管阻塞性不孕患者妊娠的影响[J].临床医学,2018,38(7):37-38,41.
[5]杨菲.宫腔镜下输卵管插管通液术用于不孕症的疗效评价[J].临床研究,2018,26(12):89-90.
[6]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.
[7]王晔,卢清秀,刘静,等.结肠中药保留灌肠对输卵管阻塞性不孕患者药物留存时间及输卵管功能的影响[J].中国医药导报,2017,14(4):177-180.
[2]刘亚男.输卵管性不孕症应用宫腔镜下插管通液术的疗效分析[J].中国现代药物应用,2018,12(6):63-64.
[3]要红叶,杨广祥,刘津华,等.输卵管阻塞性不孕经介入治疗后再通效果的影响因素[J].包头医学院学报,2017,33(3):3-5.
[4]柴瑞瑞.宫腹腔镜下输卵管插管通液术对输卵管阻塞性不孕患者妊娠的影响[J].临床医学,2018,38(7):37-38,41.
[5]杨菲.宫腔镜下输卵管插管通液术用于不孕症的疗效评价[J].临床研究,2018,26(12):89-90.
[6]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.
[7]王晔,卢清秀,刘静,等.结肠中药保留灌肠对输卵管阻塞性不孕患者药物留存时间及输卵管功能的影响[J].中国医药导报,2017,14(4):177-180.