宫腔镜、腹腔镜联合在不孕症诊治中的应用  

Application of combined hysteroscopy and laparoscopy in diagnosis and treatment of infertilitas female

作　　者：夏红[1] 赵勇锋[1] 李怀芳[1] 

机构地区：[1]同济大学附属同济医院妇产科,上海200065

出　　处：《同济大学学报（医学版）》2009年第3期100-102,共3页Journal of Tongji University(Medical Science)

摘　　要：目的探讨宫腔镜、腹腔镜联合诊治不孕症的价值。方法联合应用宫腔镜、腹腔镜诊治55例不孕症患者,随访4年,观察妊娠情况。结果在导致女性不孕的常见原因中,输卵管因素是导致女性不孕的主要原因,尤其对继发不孕而言,输卵管因素占47.2%(26/55),明显高于其他因素(P<0.05)。子宫内膜异位症也是导致女性不孕的重要原因之一,在原发不孕和继发不孕的患者该因素无显著性差异(P>0.05)。55例患者中累计术后随访4年内总妊娠率54.5%(30/55)。结论宫腔镜、腹腔镜联合手术可明确不孕症病因,在诊断的同时进行治疗,其创伤小、并发症少、安全有效,具有重要的临床应用价值。Objective To evaluate the value of combined hysteroscopy and laparoscopy in diagnosis and management of female infertility. Methods Fifty-five cases of female infertility were treated by combined hysteroscopy and laparoscopy and pregnancy rate was observed in 4-year follow-up. Results Salpingo factor was the common cause for female infertility, especially for secondary infertility. There were 47.2% （26/55） cases resulted from salpingo-related factors which were significantly different from other etiological factors （P 〈 0.05 ）. Endometriosis was another major cause for female infertility, but no significant difference was found between primary and secondary fertility （ P 〉 0.05 ）. The total rate of pregnancy was 54.5 % （ 30/55 ） in 55 patients in 4-year follow-up. Conclusion Combined hysteroscopy and laparoscopy can help identify the etiological factors of female fertility and proper surgical intervention can be performed at the same time may har rest a promising results as those in this report.

关 键 词：女性 不孕症 宫腔镜 腹腔镜 

分 类 号：R711.6[医药卫生—妇产科学]