中国妇幼健康研究Issue(2)：254-257,4.DOI:10.3969/j.issn.1673-5293.2014.02.029
宫腹腔镜联合诊治输卵管阻塞性不孕的临床分析
Clinical analysis of hysteroscopy combined with laparoscopy in diagnosis and treatment of fallopian tube obstructive infertility
邓琳 1何玉琴 1罗志莲1
作者信息
- 1. 广州市天河妇幼保健院妇产科，广东广州510620
- 折叠
摘要
Abstract
Objective To explore the value of hysteroscopy combined with laparoscopy in diagnosis and treatment of fallopian tube obstructive infertility , so as to provide reference for clinics .Methods From January 2009 to January 2012 125 patients were diagnosed with fallopian tube obstructive infertility in Maternal and Children ’ s Health Hospital of Tianhe District .They were randomly divided into hysteroscopy combined with laparoscopy group ( observation group , n=63 ) and laparoscopy group ( control group , n=62 ) .They were followed up for 12 to 18 months.The diagnostic accordance rate of laparoscopy and HSG , fallopian tube patency and second intrauterine pregnancy were compared , and Logistic regression analysis was used to analyze the influencing factors of pregnancy outcomes .Results The diagnostic accordance rate of laparoscopy and HSG was 80.00%.The patency rate and intrauterine pregnancy rate of the observation group were significantly higher than the control group (χ2 value was 5.383 and 4.992, respectively, both P<0.05).The reproductive outcomes were related to proximal tubal obstruction , recanalization of fallopian tube forward and distal hydrosalpinx . Conclusion Suitable hysteroscopy combined with laparoscopy is an effective method in diagnosis of fallopian tube obstructive infertility , and it is worthy of promotion in clinics .关键词
宫腔镜/腹腔镜/输卵管性疾病/不孕症Key words
hysteroscopy/laparoscopy/fallopian tubes diseases/infertility分类
医药卫生引用本文复制引用
邓琳,何玉琴,罗志莲..宫腹腔镜联合诊治输卵管阻塞性不孕的临床分析[J].中国妇幼健康研究,2014,(2):254-257,4.
