改进宫腹腔镜诊治输卵管性不孕症的疗效评价及对应激因子与炎症因子的影响

doi:10.3969/j.issn.1006-6233.2017.04.004

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Abstract Objective: To study improved hysteroscopy combined with aparoscopy in treatment of tubal infertility stress factors and its effects on inflammatory factors. Methods: 80 patients of tubal infertility who received therapy from August 2014 to August 2015 in our hospital were selected as research objects. The control group was treated with tradition hysteroscopy combined with aparoscopy, while the observation group was treated with Improved hysteroscopy combined with aparoscopy, Then The stress level of adrenaline (E), cortisol(Cor), Thyroid stimulating hormone(TSH), inflammatory factors interleukin-2(IL-2), interleukin-6(IL-6), interleukin-8(IL-8), C reactive protein (CRP), treatment efficacy before and after treatment two groups of patients were compared.Results: After treatment, tubal patency rate, intrauterine pregnancy rate in observation group was than the control group, ectopic pregnancy rate in observation group was less than the control group[92.50%(37/40)vs75.00%(30/40),95.00%(38/40)vs75.00%(30/40),5.00%(2/40)vs22.50%(9/40)] (P＜0.05); E,or in observation group was less than the control group, TSH in observation group was than the control group[(96.16±10.25)ng/ml vs(152.17±16.03)ng/ml、(146.86±18.97)ng/ml vs(236.16±23.17)ng/ml、(3.10±0.50)mU/L vs(1.82±0.32)mU/L] (P＜0.05); IL-2、IL-6、IL-8、CRP in observation group was less than the control group[(17.80±2.21)pg/ml vs(29.07±4.70)pg/ml、(43.21±5.86)pg/ml vs(54.26±6.23)pg/ml、(183.25±34.20)pg/ml vs(213.97±50.65)pg/ml、(5.03±0.81)pg/ml vs(6.12±0.90)pg/ml] (P＜0.05); The total effective rate of observation group was statistically higher than that in the control group95.00%(38/40)vs75.00%(30/40)(P＜0.05). Conclusion:To improve the effect of hysteroscopy and laparoscopy in the diagnosis and treatment is well for tubal infertility, which can reduce the expression of stress factors and inflammatory factors, which is beneficial to the prognosis of the patients.

Key words： Improved hysteroscopy combined with aparoscopy Tubal infertility Evaluation of curative effect Stress factors Inflammatory factors

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http://www.hbyxzzs.cn/EN/10.3969/j.issn.1006-6233.2017.04.004 OR http://www.hbyxzzs.cn/EN/Y2017/V23/I4/539

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