子宫输卵管造影联合宫腹腔镜治疗输卵管阻塞性不孕症的临床效果(1)
[摘要]目的 探讨子宫输卵管造影(HSG)联合宫腹腔镜治疗输卵管阻塞性不孕症的临床效果。方法 选取2015年6月～2018年8月我院收治的80例输卵管阻塞性不孕症患者作为研究对象，采用信封法将其分为观察组和对照组，每组各40例。对照组采用宫腹腔镜治疗，观察组采用HSG联合宫腹腔镜治疗。比较两组的输卵管通畅程度、治疗总有效率、复通及受孕成功率。结果 两组的输卵管通畅程度比较，差异无统计学意义(P>0.05)。观察组的治疗总有效率高于对照组，差异有统计学意义(P<0.05)。观察组的复通和受孕成功率均高于对照组，差异有统计学意义(P<0.05)。结论 HSG联合宫腹腔镜治疗不孕症的效果较好，其他方面与宫腹腔镜的效果相当，临床可根据实际情况选择治疗方法。
[关键词]子宫输卵管造影;宫腹腔镜;输卵管阻塞性不孕症
[中图分类号] R71 [文献标识码] A [文章编号] 1674-4721(2019)12(b)-0140-03
Clinical effect of hystero-salpingography combined with hysteroscopy-laparoscopy in the treatment of salpinx obstructive infertility
WANG Qin LI Li-li CHEN Si
Department of Obstetrics and Gynecology， Pingsha Hospital of Zhuhai， Guangdong Province， Zhuhai 519055， China
[Abstract] Objective To explore the clinical effect of hystero-salpingography (HSG) combined with hysteroscopy-laparoscopy in the treatment of salpinx obstructive infertility. Methods A total of 80 patients with salpinx obstructive infertility who were admitted to our hospital from June 2015 to August 2018 were selected as the research objects， they were divided into observation group and control group by the envelope method， with 40 cases in each group. Control group was treated with hysteroscopy-laparoscopy， and observation group was treated with HSG combined with hysteroscopy-laparoscopy. The degree of fallopian tube patency， total effective rate， the success rates of recanalization and fertilization were compared between the two groups. Results There was no significant difference in tubal patency between the two groups (P>0.05). The total effective rate in the observation group was higher than that in the control group， and the difference was statistically significant (P<0.05). The success rates of recanalization and fertilization in the observation group were higher than those in the control group， and the differences were statistically significant (P<0.05). Conclusion HSG combined with hysteroscopy-laparoscopy has better effect in the treatment of infertility， and other aspects are equivalent to the effect of hysteroscopy-laparoscopy. The treatment methods in clinical practice can be selected according to the actual situation.
[Key words] Hystero-salpingography; Hysteroscopy-laparoscopy; Salpinx obstructive infertility
不孕癥是全球性的医学和社会问题，近年来，我国不孕症的发病率逐年升高，其发病机制可能与免疫因素、排卵障碍、盆腔因素等相关，其中盆腔因素占据全部不孕因素的35%[1]。临床常采用彩超、腹腔镜、输卵管通液、宫腔镜、腹腔镜、子宫输卵管造影等对不孕症患者进行诊治，每种方法均具有一定的优势，但若采用单一方法进行诊治，则会存在时间长、准确率低、阳性率低等缺点，因此如何选择合适、个体化的治疗方案是临床研究的重点。传统的子宫输卵管造影(hystero-salpingography，HSG)在输卵管性不孕症治疗中应用较多，具有价格低廉、安全有效、操作简单等特点，还兼有诊断及治疗的作用，主要是将造影剂注入宫腔及输卵管中，通过X线拍片观察患者子宫及输卵管的形态，为临床诊断及治疗提供有效依据[2]。宫腹腔镜是在全身麻醉下，同时对患者进行宫腔镜及腹腔镜检查，评估患者子宫及输卵管的形态，全面确定病因后进行治疗[3]。但HSG与宫腹腔镜联合应用的研究较少。本研究联合HSG与宫腹腔镜对不孕症患者进行治疗，分析对患者受孕情况的影响，旨在为临床诊治不孕症提供依据，现将结果报道如下。, 百拇医药(王琴 李丽丽 陈思)
[关键词]子宫输卵管造影;宫腹腔镜;输卵管阻塞性不孕症
[中图分类号] R71 [文献标识码] A [文章编号] 1674-4721(2019)12(b)-0140-03
Clinical effect of hystero-salpingography combined with hysteroscopy-laparoscopy in the treatment of salpinx obstructive infertility
WANG Qin LI Li-li CHEN Si
Department of Obstetrics and Gynecology， Pingsha Hospital of Zhuhai， Guangdong Province， Zhuhai 519055， China
[Abstract] Objective To explore the clinical effect of hystero-salpingography (HSG) combined with hysteroscopy-laparoscopy in the treatment of salpinx obstructive infertility. Methods A total of 80 patients with salpinx obstructive infertility who were admitted to our hospital from June 2015 to August 2018 were selected as the research objects， they were divided into observation group and control group by the envelope method， with 40 cases in each group. Control group was treated with hysteroscopy-laparoscopy， and observation group was treated with HSG combined with hysteroscopy-laparoscopy. The degree of fallopian tube patency， total effective rate， the success rates of recanalization and fertilization were compared between the two groups. Results There was no significant difference in tubal patency between the two groups (P>0.05). The total effective rate in the observation group was higher than that in the control group， and the difference was statistically significant (P<0.05). The success rates of recanalization and fertilization in the observation group were higher than those in the control group， and the differences were statistically significant (P<0.05). Conclusion HSG combined with hysteroscopy-laparoscopy has better effect in the treatment of infertility， and other aspects are equivalent to the effect of hysteroscopy-laparoscopy. The treatment methods in clinical practice can be selected according to the actual situation.
[Key words] Hystero-salpingography; Hysteroscopy-laparoscopy; Salpinx obstructive infertility
不孕癥是全球性的医学和社会问题，近年来，我国不孕症的发病率逐年升高，其发病机制可能与免疫因素、排卵障碍、盆腔因素等相关，其中盆腔因素占据全部不孕因素的35%[1]。临床常采用彩超、腹腔镜、输卵管通液、宫腔镜、腹腔镜、子宫输卵管造影等对不孕症患者进行诊治，每种方法均具有一定的优势，但若采用单一方法进行诊治，则会存在时间长、准确率低、阳性率低等缺点，因此如何选择合适、个体化的治疗方案是临床研究的重点。传统的子宫输卵管造影(hystero-salpingography，HSG)在输卵管性不孕症治疗中应用较多，具有价格低廉、安全有效、操作简单等特点，还兼有诊断及治疗的作用，主要是将造影剂注入宫腔及输卵管中，通过X线拍片观察患者子宫及输卵管的形态，为临床诊断及治疗提供有效依据[2]。宫腹腔镜是在全身麻醉下，同时对患者进行宫腔镜及腹腔镜检查，评估患者子宫及输卵管的形态，全面确定病因后进行治疗[3]。但HSG与宫腹腔镜联合应用的研究较少。本研究联合HSG与宫腹腔镜对不孕症患者进行治疗，分析对患者受孕情况的影响，旨在为临床诊治不孕症提供依据，现将结果报道如下。, 百拇医药(王琴 李丽丽 陈思)