目的 探讨宫腹腔镜联合手术和子宫输卵管碘油造影在输卵管性不孕症中的应用价值.方法 选取86例输卵管性不孕症患者,根据随机数字表法分为两组,每组43例.对照组采用子宫输卵管碘油造影检查与常规治疗,研究组采用子宫输卵管碘油造影检查与宫腹腔镜联合手术治疗.比较两组临床效果.结果 研究组的输卵管再通率为91.7%,对照组的输卵管再通率为51.4%,与对照组对比,研究组的输卵管再通率更高,差异有统计学意义(P<0.05).研究组输卵管环显像和滋养血流频谱诊断率分别为95.3%、97.7%,对照组输卵管环显像和滋养血流频谱诊断率分别为81.4%、86.0%,与对照组对比,研究组输卵管环显像和滋养血流频谱诊断率更高,差异有统计学意义(P<0.05).结论 宫腹腔镜联合手术和子宫输卵管碘油造影在输卵管性不孕症中的临床效果更加显著,具有较高的诊断准确率,可以提高患者输卵管的再通率,值得临床推广.
Objective To investigate the application value of uterine laparoscopy combined with hysterosalpingol iodography in tubal infertility.Methods 86 patients with tubal infertility were divided into two groups according to random number table method,with 43 cases in each group.The control group was treated with hysterosalpingol iodography and conventional treatment,while the study group was treated with hysterosalpingol iodography and laparoscopy.The clinical effect of the two groups was compared.Results The tubal recanalization rate of the study group was 91.7%,and that of the control group was 51.4%.Compared with the control group,the recanalization rate of the study group was higher,the difference was statistically significant(P<0.05).The diagnostic rates of tubal ring imaging and nourishing blood flow spectrum in the study group were 95.3%and 97.7%,respectively,while those of the control group were 81.4%and 86.0%,respectively.Compared with the control group,the diagnostic rates of tubal ring imaging and nourishing blood flow spectrum in the study group were higher,and the difference was statistically significant(P<0.05).Conclusion Uterine laparoscopy combined with hysterosalpingol iodography has more significant clinical effects in tubal infertility,has a high diagnostic accuracy,can improve the patient's tubal recanalization rate,and is worthy of clinical promotion.