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目的探讨宫腔镜与腹腔镜联合手术治疗输卵管堵塞患者的临床效果。方法 120例输卵管堵塞患者,随机分为对照组和观察组,各60例。对照组患者实施传统开腹手术治疗,观察组患者实施宫腔镜联合腹腔镜手术治疗,对比两组患者手术指标及术后1年内妊娠率。结果观察组患者手术时间、术中出血量、排气时间、住院时间均低于对照组,差异有统计学意义(P<0.05)。观察组患者术后1年内妊娠率58.3%(35例);对照组患者术后1年内妊娠率36.7%(22例),两组比较差异有统计学意义(P<0.05)。结论宫腔镜联合腹腔镜手术治疗输卵管堵塞患者手术指标更好,能显著缩短患者手术时间及住院时间,提高患者后续妊娠成功率。
Objective To investigate the clinical effect of hysteroscopy combined with laparoscopy in the treatment of tubal blockage. Methods 120 cases of tubal blockage were randomly divided into control group and observation group, 60 cases each. Patients in the control group underwent traditional laparotomy. Patients in the observation group underwent hysteroscopy combined with laparoscopic surgery. The surgical indexes and pregnancy rates within 1 year after operation were compared between the two groups. Results The operation time, intraoperative blood loss, exhaust time and hospital stay in observation group were lower than those in control group, with statistical significance (P <0.05). The pregnancy rate in observation group was 58.3% (35 cases) within one year after operation. The pregnancy rate in control group was 36.7% within one year after operation (22 cases). There was significant difference between the two groups (P <0.05). Conclusion Hysteroscopy combined with laparoscopic surgery for tubal blockage patients with better surgical indicators, can significantly shorten the operation time and hospital stay, and improve the success rate of subsequent pregnancy.