宫、腹腔镜联合Cook导丝治疗输卵管性不孕的效果分析

发布时间：2018-06-21 23:19

本文选题：输卵管性不孕 + 宫腹腔镜联合　；参考：《青海大学》2014年硕士论文

【摘要】：目的：分析评价宫、腹腔镜联合Cook导丝在治疗输卵管性不孕症中的临床效果。方法：经过子宫输卵管碘油造影诊断为双侧输卵管阻塞的不孕患者，，观察组为施行宫、腹腔镜联合Cook导丝介入术者，共92例，对照组为施行宫、腹腔镜联合输卵管通液术者，共108例，比较两组患者的术后疏通率及妊娠率。比较两组分别在原发不孕及继发不孕患者中的妊娠率。比较观察组在不同输卵管梗阻部位的疏通率。结果：观察组患者术后疏通率为91.41%，妊娠率为51.09%，对照组患者术后疏通率为78.35%，妊娠率为37.04%。观察组患者术后疏通率、妊娠率高于对照组，差异有统计学意义。观察组原发不孕患者妊娠率为40.00%，继发不孕患者妊娠率为54.17%。对照组原发不孕患者妊娠率36.36%，继发不孕患者妊娠率37.33%。两组原发不孕患者的妊娠率差异无统计学意义，观察组较对照组在继发不孕患者中的妊娠率高，差异有统计学意义。观察组患者近端梗阻疏通率为94.51%，远端梗阻疏通率为91.53%，近端合并远端梗阻疏通率为69.23%，观察组近端梗阻、远端梗阻、近端合并远端梗阻患者疏通率差异无统计学意义。结论：宫、腹腔镜联合Cook导丝治疗输卵管性不孕疗效好，术后输卵管疏通率及妊娠率均较宫、腹腔镜联合输卵管通液术明显提高。宫、腹腔镜联合Cook导丝介入术对继发不孕的治疗效果优于宫、腹腔镜联合输卵管通液术。宫、腹腔镜联合Cook导丝介入术对近端梗阻、远端梗阻、近端合并远端梗阻的不同梗阻部位的治疗效果无差异。
[Abstract]:Objective: to evaluate the clinical effect of hysteroscopy combined with Cook wire in the treatment of oviduct infertility. Methods: 92 infertile patients with bilateral tubal obstruction diagnosed by lipiodol hysterosalpingography were treated with hysterosalpingography. A total of 108 cases were compared between the two groups of postoperative dredging rate and pregnancy rate. The pregnancy rates in primary infertility and secondary infertility were compared between the two groups. The recuperation rate of different tubal obstruction sites in the observation group was compared. Results: the postoperative dredging rate and pregnancy rate were 91.41 and 51.09 in the observation group, 78.35 in the control group and 37.04 in the control group. The postoperative dredging rate and pregnancy rate in the observation group were higher than those in the control group, and the difference was statistically significant. The pregnancy rate of primary infertility and secondary infertility in observation group was 40.00g and 54.17 respectively. In control group, the pregnancy rate of primary infertility was 36.36 and that of secondary infertility was 37.33. There was no significant difference in pregnancy rate between the two groups, but the pregnancy rate in the observation group was higher than that in the control group, and the difference was statistically significant. The rates of proximal obstruction, distal obstruction and distal obstruction were 94.51, 91.53 and 69.23, respectively. There was no significant difference in the rate of proximal obstruction, distal obstruction and proximal and distal obstruction in the observation group. Conclusion: hysteroscopy combined with Cook wire guide is effective in the treatment of oviduct infertility. The rate of fallopian tube dredging and pregnancy after operation is higher than that of uterus. The effect of laparoscopy combined with Cook wire interventional therapy for secondary infertility is better than that of uterus. There was no significant difference in the treatment of proximal obstruction, distal obstruction, proximal obstruction and distal obstruction by laparoscopy combined with Cook wire interventional therapy.
【学位授予单位】：青海大学
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：R711.6

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