河北医学2017，Vol.23Issue(4)：539-543,5.DOI:10.3969/j.issn.1006-6233.2017.04.004
改进宫腹腔镜诊治输卵管性不孕症的疗效评价及对应激因子与炎症因子的影响
Evaluation of Curative Effect of Improved Hysteroscopy Combined withLaparoscopy in Treatment of Tubal Infertility Stress Factors and its Effects on Inflammatory Factors
摘要
Abstract
Objective:To study improved hysteroscopy combined with aparoscopy in treatment of tubal infertility stress factors and its effects on inflammatory factors.Methods: 80 patients of tubal infertility who received therapy from August 2014 to August 2015 in our hospital were selected as research objects.The control group was treated with tradition hysteroscopy combined with aparoscopy, while the observation group was treated with Improved hysteroscopy combined with aparoscopy, Then The stress level of adrenaline (E), cortisol(Cor), Thyroid stimulating hormone(TSH), inflammatory factors interleukin-2(IL-2), interleukin-6(IL-6), interleukin-8(IL-8), C reactive protein (CRP), treatment efficacy before and after treatment two groups of patients were compared.Results: After treatment, tubal patency rate, intrauterine pregnancy rate in observation group was than the control group, ectopic pregnancy rate in observation group was less than the control group[92.50%(37/40)vs75.00%(30/40),95.00%(38/40)vs75.00%(30/40),5.00%(2/40)vs22.50%(9/40)] (P<0.05);E,or in observation group was less than the control group, TSH in observation group was than the control group[(96.16±10.25)ng/ml vs(152.17±16.03)ng/ml、(146.86±18.97)ng/ml vs(236.16±23.17)ng/ml、(3.10±0.50)mU/L vs(1.82±0.32)mU/L] (P<0.05);IL-2、IL-6、IL-8、CRP in observation group was less than the control group[(17.80±2.21)pg/ml vs(29.07±4.70)pg/ml、(43.21±5.86)pg/ml vs(54.26±6.23)pg/ml、(183.25±34.20)pg/ml vs(213.97±50.65)pg/ml、(5.03±0.81)pg/ml vs(6.12±0.90)pg/ml] (P<0.05);The total effective rate of observation group was statistically higher than that in the control group95.00%(38/40)vs75.00%(30/40)(P<0.05).Conclusion:To improve the effect of hysteroscopy and laparoscopy in the diagnosis and treatment is well for tubal infertility, which can reduce the expression of stress factors and inflammatory factors, which is beneficial to the prognosis of the patients.关键词
宫腹腔镜诊治/输卵管性不孕症/疗效评价/应激因子/炎症因子Key words
Improved hysteroscopy combined with aparoscopy/Tubal infertility/Evaluation of curative effect/Stress factors/Inflammatory factors引用本文复制引用
王改琴,党淼,耿俐,王晓宁,崔琨..改进宫腹腔镜诊治输卵管性不孕症的疗效评价及对应激因子与炎症因子的影响[J].河北医学,2017,23(4):539-543,5.基金项目
陕西省教育厅资助课题,(编号:01JK1031) （编号:01JK1031）
