宫腹腔镜联合行输卵管插管疏通术在输卵管阻塞性不孕症中的应用  

Clinical usage on treatment of oviduct obstructive infertility with intubation and Recanalization were perfomed by means of laparoscopy combined with hysteroscopy

作　　者：李秀然[1] 方如丹[1] 沈洪沁[1] 

机构地区：[1]广州市中医医院妇科,广东广州510130

出　　处：《中国内镜杂志》2005年第2期158-160,共3页China Journal of Endoscopy

摘　　要：目的探讨宫腹腔镜联合行输卵管插管疏通术治疗输卵管阻塞性不孕症的疗效。方法选择经子宫输卵管造影术(HSG)诊断证实输卵管阻塞性不孕症患者52例,采用宫腹腔镜联合行输卵管插管疏通术。结果52例患者,104条阻塞输卵管,96条疏通成功,再通率92.3%。随访52例,时间30 d～24个月,妊娠24例,难免流产1例,宫外孕1例,妊娠率46.2%。结论应用宫腹腔镜联合行输卵管插管疏通术是治疗输卵管阻塞性不孕症的一种有效方法。To explore the effect on treatment of oviduct obstructive infertility with intubation and Recanalization were perfomed by means of laparoscopy combined with hysteroscopy. Fifty-two cases of oviduct obstructive infertility were diagnosed by hystero-salpingography, intubation and Recanalization were perfomed by means of laparoscopy combined with hysteroscopy. In Fifty-two patients,104 obstructive oviducts, of which 96 were successfully recanalized,the percentage of recanalization was 92.3%. Fifty-two cases were followed up for 30 days～24 months, there were 24 pregnancies, 1 inevitable abortion amd 1 ectopic pregnancy, with the rate of pregnancy 46.2%. [Conclusions] It is an effective approach to treat oviductal obstruction by intubation and Recanalization were perfomed by means of laparoscopy combined with hysteroscopy.

关 键 词：输卵管阻塞 不孕症 输卵管插管 宫腔镜 腹腔镜 

分 类 号：R711.6[医药卫生—妇产科学]