摘要
目的探讨宫腔镜下输卵管插管通液在不孕不育的临床治疗中对成功妊娠的可行性。方法选择2019至2020年收治的180例输卵管性不孕患者,随机分为对照组和试验组,每组90例。应用不同的通液方法,分析临床疗效。比较2组患者的输卵管通畅情况、临床疗效、妊娠率、术后并发症的发生情况。结果对照组患者中输卵管通畅等级优24例、输卵管通畅等级良36例、输卵管通畅等级差30例;试验组患者中输卵管通畅等级优45例、输卵管通畅等级良42例、输卵管通畅等级差3例,试验组患者的输卵管通畅情况较对照组高(P<0.05)。对照组治疗总有效率为81.11%,试验组治疗总有效率为100%,对照组治疗总有效率明显低于试验组(P<0.05)。对照组患者术后并发症发生率为14.44%,试验组并发症发生率为2.33%,对照组患者的术后并发症发生率明显高于试验组(P<0.05)。对照组患者妊娠成功率为43.33%,试验组妊娠成功率为95.55%,试验组患者妊娠成功率明显高于对照组(P<0.05)。结论宫腔镜下输卵管插管通液疗法因安全、无痛苦等优势得到广泛应用,其在输卵管性不孕的临床诊疗具有较高的应用价值,值得推广。
Objective To investigate the feasibility of tubal cannulation hydrotubation under hysteroscope in treatment of tubal infertility.Methods A total of 180 patients with tubal infertility who were admitted and treated in our hospital from 2019 to 2020 were enrolled in the study,who were randomly divided into control group and observation group,with 90 cases in each group.The patients in the two groups were treated by different hydrotubation methods,then the therapeutic effects were observed and compared between the two grousp.Results In control group,there were 24 cases of excellent tubal patency,36 cases of good tubal patency,30 cases of poor tubal patency,on contrast of that,in observation group,there were 45 cases of excellent tubal patency,42 cases of good tubal patency,and 3 cases of poor fallopian tube patency,and the fallopian tube patency status in control group was inferior to that in observation group(P<0.05).Moreover the total effective rate in control group was 81.11%,which was significantly lower than that(100%)in observation group(P<0.05).In addition the incidence rate of postoperative complication rate in control group was 14.44%,which was significantly higher than that(2.33%)in observation group(P<0.05).Furthermore the pregnancy success rate in observation group was 95.55%,which was significantly higher than that(43.33%)in control group(P<0.05).Conclusion The tubal cannulation hydrotubation under hysteroscope is effective and safe,thus,it has been widely used in clinical practice,and it is worthy of clinical application and promotion.
作者
李辉
LI Hui(Bo’ai Hospital of Huanghua City,Hebei,Huanghua 061100,China)
出处
《河北医药》
CAS
2021年第9期1357-1360,共4页
Hebei Medical Journal
关键词
宫腔镜
输卵管插管通液
不孕不育
hysteroscopy
tubal cannulation hydrotubation
infertility and sterility
