本文選題：輸卵管性不孕 + 宮腹腔鏡聯(lián)合　； 參考：《青海大學》2014年碩士論文

【摘要】：目的：分析評價宮、腹腔鏡聯(lián)合Cook導絲在治療輸卵管性不孕癥中的臨床效果。方法：經(jīng)過子宮輸卵管碘油造影診斷為雙側輸卵管阻塞的不孕患者，，觀察組為施行宮、腹腔鏡聯(lián)合Cook導絲介入術者，共92例，對照組為施行宮、腹腔鏡聯(lián)合輸卵管通液術者，共108例，比較兩組患者的術后疏通率及妊娠率。比較兩組分別在原發(fā)不孕及繼發(fā)不孕患者中的妊娠率。比較觀察組在不同輸卵管梗阻部位的疏通率。結果：觀察組患者術后疏通率為91.41%，妊娠率為51.09%，對照組患者術后疏通率為78.35%，妊娠率為37.04%。觀察組患者術后疏通率、妊娠率高于對照組，差異有統(tǒng)計學意義。觀察組原發(fā)不孕患者妊娠率為40.00%，繼發(fā)不孕患者妊娠率為54.17%。對照組原發(fā)不孕患者妊娠率36.36%，繼發(fā)不孕患者妊娠率37.33%。兩組原發(fā)不孕患者的妊娠率差異無統(tǒng)計學意義，觀察組較對照組在繼發(fā)不孕患者中的妊娠率高，差異有統(tǒng)計學意義。觀察組患者近端梗阻疏通率為94.51%，遠端梗阻疏通率為91.53%，近端合并遠端梗阻疏通率為69.23%，觀察組近端梗阻、遠端梗阻、近端合并遠端梗阻患者疏通率差異無統(tǒng)計學意義。結論：宮、腹腔鏡聯(lián)合Cook導絲治療輸卵管性不孕療效好，術后輸卵管疏通率及妊娠率均較宮、腹腔鏡聯(lián)合輸卵管通液術明顯提高。宮、腹腔鏡聯(lián)合Cook導絲介入術對繼發(fā)不孕的治療效果優(yōu)于宮、腹腔鏡聯(lián)合輸卵管通液術。宮、腹腔鏡聯(lián)合Cook導絲介入術對近端梗阻、遠端梗阻、近端合并遠端梗阻的不同梗阻部位的治療效果無差異。
[Abstract]:Objective: to evaluate the clinical effect of hysteroscopy combined with Cook wire in the treatment of oviduct infertility. Methods: 92 infertile patients with bilateral tubal obstruction diagnosed by lipiodol hysterosalpingography were treated with hysterosalpingography. A total of 108 cases were compared between the two groups of postoperative dredging rate and pregnancy rate. The pregnancy rates in primary infertility and secondary infertility were compared between the two groups. The recuperation rate of different tubal obstruction sites in the observation group was compared. Results: the postoperative dredging rate and pregnancy rate were 91.41 and 51.09 in the observation group, 78.35 in the control group and 37.04 in the control group. The postoperative dredging rate and pregnancy rate in the observation group were higher than those in the control group, and the difference was statistically significant. The pregnancy rate of primary infertility and secondary infertility in observation group was 40.00g and 54.17 respectively. In control group, the pregnancy rate of primary infertility was 36.36 and that of secondary infertility was 37.33. There was no significant difference in pregnancy rate between the two groups, but the pregnancy rate in the observation group was higher than that in the control group, and the difference was statistically significant. The rates of proximal obstruction, distal obstruction and distal obstruction were 94.51, 91.53 and 69.23, respectively. There was no significant difference in the rate of proximal obstruction, distal obstruction and proximal and distal obstruction in the observation group. Conclusion: hysteroscopy combined with Cook wire guide is effective in the treatment of oviduct infertility. The rate of fallopian tube dredging and pregnancy after operation is higher than that of uterus. The effect of laparoscopy combined with Cook wire interventional therapy for secondary infertility is better than that of uterus. There was no significant difference in the treatment of proximal obstruction, distal obstruction, proximal obstruction and distal obstruction by laparoscopy combined with Cook wire interventional therapy.
【學位授予單位】：青海大學
【學位級別】：碩士
【學位授予年份】：2014
【分類號】：R711.6

【共引文獻】

相關期刊論文 前3條

1 韋衛(wèi)中;徐春芳;陳慧;紀偉英;;動態(tài)三維子宮輸卵管超聲造影臨床應用價值探討[J];華中科技大學學報(醫(yī)學版);2014年01期

2 駱會婷;肖迎聰;何鴛;王濤;師衛(wèi)華;;聲諾維(Sono Vue)與雙氧水在不孕癥子宮輸卵管超聲造影中的應用價值[J];陜西醫(yī)學雜志;2014年03期

3 韓巧芳;謝玉環(huán);羅海波;袁領歡;梁見娣;劉豐堯;李麗娟;;經(jīng)陰道子宮輸卵管四維超聲造影評價輸卵管通暢性的研究[J];生殖醫(yī)學雜志;2014年10期

相關碩士學位論文 前2條

1 何燕妮;經(jīng)陰道四維輸卵管聲學造影評價輸卵管通暢性[D];南方醫(yī)科大學;2013年

2 馬靜麗;經(jīng)陰道實時三維超聲造影輸卵管通暢度評估標準分析[D];南方醫(yī)科大學;2014年

本文編號：2050469