宫腔镜与腹腔镜联合下输卵管疏通术治疗输卵管性不孕症的临床效果观察

申丙菊

【摘要】 目的：研究宫腔镜与腹腔镜联合下输卵管疏通术治疗输卵管性不孕症的临床效果。方法：选取2015年7月-2016年8月笔者所在医院收治的94例输卵管性不孕症患者，按照手术方法不同分为观察组与对照组，各47例，观察组行宫腔镜与腹腔镜联合下输卵管疏通术治疗，对照组仅行宫腔镜下疏通术治疗，评估治疗效果、手术用时及术后1年内妊娠情况。结果：观察组患者完全通畅率为89.36%，高于对照组的78.72%，比较差异有统计学意义（字2=4.220，P=0.040）；观察组手术时间为（14.25±1.05）min，短于对照组的（17.52±1.01）min，比较差异有统计学意义（t=15.387，P=0.000）；观察组患者术后2年内宫内妊娠率为87.23%，优于对照组的68.09%，比较差异有统计学意义（字2=10.558，P=0.001）。结论：采用宫腔镜与腹腔镜联合下输卵管疏通术治疗输卵管性不孕症，疗效显著，可提高完全疏通率及宫内妊娠率，且手术用时较短。

【关键词】 宫腔镜； 腹腔镜； 输卵管； 不孕症

doi：10.14033/j.cnki.cfmr.2018.7.053 文献标识码 B 文章编号 1674-6805（2018）07-0114-02

【Abstract】 Objective：To investigate the clinical effect of tubal recanalization in treatment of tubal infertility under hysteroscopy combined with laparoscopy.Method：From July 2015 to August 2016，94 patients with tubal infertility treated in the authors hospital were selected and were divided into two groups according to the different therapies，47 cases in each group.The observation group received the tubal recanalization under hysteroscopy combined with laparoscopy，while the control group received the tubal dredge operation under the hysteroscopy.The therapeutic effect，operation time and the uterine pregnancy rate within one year after operation of two groups were evaluated.Result：The complete recanalization rate of the observation group was 89.36%，which was significantly higher than that of the control group（78.72%），the difference was statistically significant（字2=4.220，P=0.040）.The operation time of the observation group was （14.25±1.05）min，

which was shorter than that of the control group （17.52±1.01）min，the difference was statistically significant（t=15.387，P=0.000）.The uterine pregnancy rate within two years after operation in the observation group was 87.23%，which was significantly higher than that in the control group（68.09%），the difference was statistically significant（字2=10.558，P=0.001）.Conclusion：Tubal recanalization under hysteroscopy combined with laparoscopy in treatment of tubal infertility significant effect，can improve the complete recanalization rate and uterine pregnancy rate，and reduce the operation time.

【Key words】 Hysteroscopy； Laparoscopy； Fallopian tube； Infertility

First-authors address：Maternal and Child Health Care Family Planning Service Center of Dongbao District，Jingmen 448000，China

输卵管是女性生殖器官重要组成部分，外形为细长管道，连接子宫角，外端靠近卵巢，成年女性输卵管长度可达15 cm，输卵管功能包括拾取卵子、運送精子，如输卵管功能异常则可能导致女性不孕[1-2]。临床治疗不孕症患者多采用手术治疗，常用术式包括宫腔镜、腹腔镜疏通术。研究选择2015年7月-2016年

8月笔者所在医院收治的94例输卵管性不孕症患者，分析不同术式治疗输卵管性不孕症的治疗效果，现将研究结果报道如下。

1 资料与方法

1.1 一般资料

选取2015年7月-2016年8月笔者所在医院收治的94例输卵管性不孕症患者，按照手术方法不同分为观察组与对照组各47例，观察组：年龄24～40岁，平均（32.5±2.5）岁，病程2～6年，平均（4.6±1.0）年；……