宫-腹腔镜联合手术诊治不孕症60例临床分析  

AN ANALYSIS OF 60 INFERTILE PATIENTS EXAMINED BY COMBINED LAPAROSCOPY AND HYSTEROSCOPY

作　　者：王维琴[1] 马宏生[1] 段仙芝[1] 

机构地区：[1]内蒙古自治区医院妇产科,内蒙古呼和浩特010017

出　　处：《内蒙古医学院学报》2009年第6期541-544,共4页Acta Academiae Medicinae Neimongol

基　　金：内蒙古卫生厅重大课题项目(2006056)

摘　　要：目的:应用宫-腹腔镜技术,探讨引起不孕症的主要因素及宫-腹腔镜联合镜检在诊治不孕症中的价值。方法:回顾性分析我院2 a间应用宫-腹腔镜联合手术诊治女性不孕症60例的病因,术后输卵管的通畅率及妊娠率。结果:宫-腹腔镜联合检查发现盆腔黏连、子宫内膜异位症、子宫内膜息肉、输卵管阻塞、卵巢囊肿是不孕症的常见原因,并给予相应手术治疗;宫-腹腔镜联合手术后输卵管再通率达71.43%,随访1 a妊娠率为36.54%。宫-腹腔镜联合镜检与单纯宫腔镜、腹腔镜诊疗不孕症相比,诊断率显著提高(P<0.05)。结论:宫-腹腔镜联合检查可早期、明确发现引起原发不孕的盆腔及子宫病变,并进行相应的治疗,有利于提高妊娠率。Objective：To investigate the pathogenesis of the infertility and the diagnostic value of laparoscopy combined with hysteroscopy in patients within fertility.Methods：A retrospective analysis of 60 infertile women who had accepted examination and correlative treatment under the combined laparoscopy and hysteroscopy in two years. Results：The leading cause of infertility were chronic pelvic flammatory disease, endometriosis, endometrial polyps, fallopian tube obstruction, oophoritic cyst and treat directly. Compared with laparoscopy alone or hysteroscopy alone, laparoscopy combined with hys -teroscopy was superior in the diagnosis （P 〈 0.05 ）. The rate of tubal unobstruction after operation is 71.43%, and the rate of pregnancy is 36.54%. Conclusion： The examination by hysteroscopy and laparoscopy can find the reasons of prmi ary infertility as early as possible, but also treat them, which is good for raising the rate of pregnancy.

关 键 词：官腔镜 腹腔镜 不孕症 

分 类 号：R713.7[医药卫生—妇产科学]