首页|经阴道单孔腹腔镜联合宫腔镜治疗输卵管性不孕症的临床效果

经阴道单孔腹腔镜联合宫腔镜治疗输卵管性不孕症的临床效果

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目的 探讨经阴道单孔腹腔镜联合宫腔镜治疗输卵管性不孕症患者的临床效果.方法 回顾性分析2018年10月至2020年9月沧州市人民医院诊治的100例输卵管性不孕症患者的临床资料,根据手术方法不同将其分为对照组和观察组,每组50例.对照组采用传统腹腔镜联合宫腔镜治疗,观察组采用经阴道单孔腹腔镜联合宫腔镜治疗.比较两组的治疗效果.结果 两组输卵管再通情况及妊娠情况比较,差异无统计学意义(P>0.05).两组手术时间、术中出血量、术后排气情况比较,差异无统计学意义(P>0.05);观察组术后疼痛程度低于对照组,住院时间短于对照组,住院费用高于对照组,差异具有统计学意义(P<0.05).观察组并发症发生率低于对照组,差异具有统计学意义(P<0.05).两组性生活质量各项评分比较,差异无统计学意义(P>0.05).治疗前,两组总体幸福感各项评分比较,差异无统计学意义(P>0.05);治疗后,观察组总体幸福感各项评分高于对照组,差异具有统计学意义(P<0.05).结论 对于输卵管性不孕症患者,采用经阴道单孔腹腔镜联合宫腔镜治疗,不仅不会影响妊娠结局,还可以降低并发症发生风险,具有良好的临床效果.
Clinical effect of transvaginal single-port laparoscopy combined with hysteroscopy in the treatment of tubal infertility
Objective To investigate the clinical effect of transvaginal single-port laparoscopy combined with hysteroscopy in the treatment of tubal infertility patients.Methods The clinical data of 100 patients with tubal infertility diagnosed and treated in Cangzhou People's Hospital from October 2018 to September 2020 were retrospectively analyzed,and they were divided into control group and observation group according to different treatment methods,with 50 cases in each group.The control group was treated with conventional laparoscopy combined with hysteroscopy,and the observation group was treated with transvaginal single-port laparoscopy combined with hysteroscopy,and the treatment outcomes of the two groups were compared.Results There was no significant difference in tubal recanalization and pregnancy between the two groups(P>0.05).There was no significant difference in operation time,intraoperative blood loss and postoperative exhaust between the two groups(P>0.05);the postoperative pain and hospitalization time in the observation group were better than those in the control group,and the hospitalization cost was higher than that in the control group,with statistical significance(P<0.05).The complication rate of the observation group was lower than that of the control group,and the difference was statistically significant(P<0.05).There was no significant difference in scores of sexual life quality between the two groups(P>0.05).Before treatment,there was no significant difference in the scores of overall well-being between the two groups(P>0.05);after treatment,the overall well-being scores of the observation group were higher than those of the control group,and the difference was statistically significant(P<0.05).Conclusions For patients with tubal infertility,transvaginal single-port laparoscopic combined with hysteroscopic will not affect the pregnancy outcome,but also reduce the risk of complications,with good clinical effect.

VaginaSingle-portLaparoscopeHysteroscopyTubal infertility

窦晓梦、纪江海、董羊羊、蒲章卫、宋欣

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沧州市人民医院妇科,河北沧州 061000

阴道 单孔 腹腔镜 宫腔镜 输卵管性不孕症

2022年度河北省省级科技计划项目

20220308

2024

中国性科学
中国性学会

中国性科学

CSTPCD
影响因子:1.394
ISSN:1672-1993
年,卷(期):2024.33(1)
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