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| The treatment effect of hysteroscopy combined with laparoscope in infertility patients |
| ZHONG Baibing |
| Department of Gynecology, Wuzhou People′s Hospital, Guangxi Zhuang Autonomous Region, Wuzhou 543000, China |
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Abstract Objective To investigate the treatment effect of hysteroscopy combined with laparoscope in infertility patients. Methods From January 2015 to March 2018, 156 cases of infertility patients admitted to Wuzhou People′s Hospital were randomly selected and grouped according to the treatment methods and patients′ treatment intention, 78 cases in each group. Hysteroscopy combined with laparoscopy exploratory surgery was applied in combined group, laparoscopy surgery alone was applied of single group. Duration of operation, intraoperative blood loss, hospital stays, postoperative tubal recanalization rate, intrauterine pregnancy rate 1 year after surgery and delivery situation of the two groups were analyzed and compared. Results There was no statistically significant difference in duration of operation, intraoperative blood loss and hospital stays between the two groups (P > 0.05). Postoperative tubal recanalization rate and intrauterine pregnancy rate 1 year after surgery in combined group were higher than those in single group, the differences were statistically significant (P < 0.05). The rate of caesarean section and artificial midwifery in combined group was lower than that in single group, the vaginal delivery rate in combined group was higher than that in single group, the differences were statistically significant (P < 0.05). Conclusion The clinical effect of hysteroscopy combined with laparoscope treatment for infertility is significant. It can effectively improve the postoperative tubal recanalization rate and intrauterine pregnancy rate, and can conducive to improve the vaginal delivery rate, meanwhile reduce the artificial midwifery rate, it has a positive significance to improve the pregnancy outcome.
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[1] 魏月利.宫腔镜联合腹腔镜手术治疗不孕不育症的临床效果分析[J].河南医学研究，2016，25（11）：2066-2067.
[2] 姚素丽.宫腹腔镜联合治疗不孕不育症对输卵管通畅情况及妊娠情况的影响[J].山西医药杂志，2018，47（17）：2073-2075.
[3] 杨淑英，杨智红，陈雪兰.不孕不育症患者外周血和子宫内膜AsAb、EmAb、AcAb、AoAb、ToxAb的检测价值研究[J].河北医药，2018，40（3）：368-371.
[4] 刘青青，于月新.宫腔镜诊治不孕症相关疾病的优势及研究现状[J].医学综述，2017，23（17）：3493-3497，3502.
[5] 罗然，杜宝俊，闫鹏宣，等.益肾活血方改善肾虚血瘀型不孕症患者子宫内膜容受性临床研究[J].中国性科学，2017，26（10）：90-92.
[6] 文海燕，姜艳艳，缪丽琳.宫腔镜下输卵管插管通液治疗不孕不育患者的临床疗效[J].中国性科学，2018，27（7）：65-67.
[7] 王鹏.宫腔镜子宫纵膈切除术治疗子宫中隔的妊娠结局及预后分析[J].实用临床医药杂志，2017，21（11）：143-150.
[8] 王建林，张萍，罗伟，等.不孕不育女性抗精子抗体及抗子宫内膜抗体检测的调查研究[J].贵州医药，2017，41（2）：141-142.
[9] 朱献金.不孕不育症治疗中宫腹腔镜联合手术的应用效果研究[J].临床医药文献电子杂志，2016，3（43）：8539-8540.
[10] 韩松雪，孙语男，王玉英.中西医结合论治不孕不育症[J].天津中医药，2017，34（8）：541-545.
[11] 霍亚芬，王可欣，周奕欣，等.不孕不育症患者社会关注带来的压力与心理健康和主观幸福感的关系及传统-现代性的调节作用研究[J].中国全科医学，2016，19（31）：3861-3865.
[12] 赵少华，张子东，冯会敬，等.子宫内膜搔刮术治疗不明原因不孕不育患者的临床疗效及安全性[J].中国临床研究，2017，30（4）：532-534.
[13] 张小莉.宫腹腔镜联合手术诊治输卵管因素不孕不育症的疗效探讨[J].中外医疗，2016，35（7）：70-72.
[14] Whynott RM，Vaught K，Segars JH. The Effect of Uterine Fibroids on Infertility：A Systematic Review [J]. Semin Reprod Med，2017，35（6）：523-532.
[15] 杨贵.药物干预联合人工月经周期治疗低促性腺激素性闭经致不孕不育的临床效果[J].中国妇幼保健，2017， 32（16）：3879-3881.
[16] Li C，Tang S，Gao X，et al. Efficacy of Combined Laparoscopic and Hysteroscopic Repair of Post-Cesarean Section Uterine Diverticulum：A Retrospective Analysis [J]. Biomed Res Int，2016.
[17] 宋海霞，袁彩霞，范玲玲，等.不孕症患者160例不同子宫输卵管检查方法的临床效果比较[J].中国药物与临床，2019，19（3）：466-468.
[18] 李文香，安新涛，焦守凤，等.宫腔镜下输卵管插管通液治疗不孕不育的临床疗效[J].中国性科学，2016，25（9）：110-112.
[19] 李引弟，白东昱，岳红云.子宫输卵管声学造影和子宫输卵管造影在输卵管堵塞性不孕检测中的相关性分析[J].中国性科学，2018，27（1）：97-100.
[20] 王秋红.腹腔镜与宫腔镜联合治疗临床不孕不育症的疗效与价值研究[J].蛇志，2017，29（2）：180-181.
[21] 林莉.腹腔镜联合宫腔镜治疗不孕不育症的临床疗效评估[J].医学理论与实践，2017，30（20）：3056-3057. |
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