宫腹腔镜联合治疗输卵管性不孕症的效果

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Abstract Objective To explore the effect of hysteroscopy combined with laparoscopy in the treatment of tubal infertility.Methods From January 2015 to December 2016,189 patients with tubal infertility were selected from People′s Hospital of Chao an District of Chaozhou City in Guangdong Province,and the First Affiliated Hospital of Sun Yat-sen University,the patients were divided into laparoscopic group(n=94)and hysteroscopy group(n=95)according to the order of treatment.The patients in laparoscopic group were treated by laparoscopy alone,and the patients in hysteroscopy group were treated by hysteroscopy combined with laparoscopy.After 1 year follow-up,the operation time,intraoperative blood loss,tubal patency rate and pregnancy rate were compared between the two groups.Results The operation time in laparoscopic group was significantly longer than that in laparoscopic group,but the bleeding volume in laparoscopic group was significantly lower than that in laparoscopic group,the difference was statistically siginificant(P＜0.05).There was no significant difference in PaCO2and SaO2between the two groups(P＞0.05).The dredging rate of hysteroscopy group was significantly higher than that of laparoscopy group,the difference was statistically siginificant(P＜0.05).The pregnancy rate of 6,12 months in laparoscopy group was significantly higher than that in laparoscopy group,the difference was statistically siginificant(P＜0.05).There was no significant difference between the two groups(χ2=0.7098,P＞0.05).Conclusion Hysteroscopy combined with laparoscopy has good clinical effect in the treatment of tubal infertility.It is safe and reliable.Postoperative tubal dredging rate and pregnancy rate are high,which is worthy of clinical application.

Key words： Hysteroscopy Laparoscopy Tubal factor infertility

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	LI Kai-yan
	SHEN Hui-min

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LI Kai-yan,SHEN Hui-min. The effect of hysteroscopy combined with laparoscopy in the treatment of tubal infertility[J]. 中国当代医药, 2018, 25(13): 117-119.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2018/V25/I13/117

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