宫腹腔镜联合Cook导丝治疗输卵管近端梗阻性不孕的临床研究-《福建医药杂志》

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Title:: Clinical study on hysteroscope-laparoscope combined with Cook guidewire in the treatment of oviduct proximal obstruction

Keywords:: oviduct proximal obstruction; hysteroscopy-laparoscopy; Cook guidewire

摘要:: 目的探讨宫腹腔镜联合Cook导丝介入治疗输卵管近端阻塞性不孕的临床疗效.方法回顾性分析86例输卵管近端阻塞患者的临床资料,分为宫腹腔镜联合导丝介入(观察组)及宫腹腔镜联合输卵管导管插管(对照组)两组进行疗效对比分析.结果观察组复通率81.39%,术后12个月受孕率66.74%;对照组复通率53.49%,术后12个月受孕率44.19%,两组两指标比较,差异均有统计学意义(P<0.05).结论宫腹腔镜联合导丝介入治疗输卵管近端阻塞优于宫腹腔镜联合输卵管导管插管,值得推广.

Abstract:: Objective To investigate the effect of hysteroscopy-laparoscopy combined with Cook guidewire in the treatment of oviduct proximal obstruction.Methods The clinical effects of 86 women with oviduct proximal obstruction were retrospectively analyzed.They were divided into two groups:hysteroscope-laparoscope combined with guidewire group (observation group),and hysteroscope-laparoscope combined with tubal catheterization (control group).Results Observation group:successful rate was 81.39%,and pregnancy rate in 12 months was 66.74%;control group:successful rate was 53.49%,and pregnancy rate in 12 months was 44.19%.There were significant differences in successful rate and pregnancy rate between the two groups(P<0.05).Conclusion The effect of hysteroscope-laparoscope combined with guidewire in the treatment of oviduct proximal obstruction is better than that of hysteroscope-laparoscope combined with tubal catheterization and it is worth spreading.